Provider Demographics
NPI:1962284505
Name:CRIMSON CARE NORTH
Entity type:Organization
Organization Name:CRIMSON CARE NORTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SASANK
Authorized Official - Middle Name:RAHEEL
Authorized Official - Last Name:PERAMSETTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-556-5634
Mailing Address - Street 1:1718 VETERANS MEMORIAL PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404-4792
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1116 MITT LARY RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35475-4978
Practice Address - Country:US
Practice Address - Phone:205-556-5634
Practice Address - Fax:205-556-5644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty