NORTHWEST ALABAMA MENTAL HEALTH CENTER (NPI# 1053405175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053405175 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ALABAMA MENTAL HEALTH CENTER |
| Practice Address |
245 Medical Clinic Dr Vernon AL 35592-5232 |
| Practice Telephone | 2056957531 |
| Practice Fax Number | 2056959529 |
| Mailing Telephone | 2056957531 |
| Mailing Fax Number | 2056959529 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FLOYD FULTON NEWMAN SR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2053029065 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932485372 | Northwest Alabama Mental Health Center | Community/Behavioral Health | 141 2nd Ave Nw, Vernon, AL 35592-0756 | 2011-10-31 |
| 1851485981 | Northwest Alabama Mental Health Center | Psychiatric Hospital | 5980 Highway 159, Fayette, AL 35555-5047 | 2006-10-03 |
| 1245324342 | Northwest Alabama Mental Health Center | Psychiatric Hospital | 427 Smokey Bear Rd, Hamilton, AL 35570-6514 | 2006-10-03 |
| 1154596971 | Northwest Alabama Mental Health Center | Clinic/Center | 1100 7th Ave, Jasper, AL 35501-4377 | 2008-04-23 |
| 1851448930 | Northwest Alabama Mental Health Center | Case Management | 1100 7th Ave, Jasper, AL 35501-4377 | 2007-01-04 |
| 1699858159 | Northwest Alabama Mental Health Center | Psychiatric Hospital | 42104 Highway 195, Haleyville, AL 35565-7053 | 2006-10-20 |
| 1578644365 | Northwest Alabama Mental Health Center | Psychiatric Hospital | 1100 7th Ave, Jasper, AL 35501-4377 | 2006-10-18 |
| 1295829489 | Northwest Alabama Mental Health Center | Clinic/Center | 1100 7th Ave, Jasper, AL 35501-4377 | 2006-10-03 |
| 1871687756 | Northwest Alabama Mental Health Center | Pediatrics | 3400 Highway 78 E, Jasper, AL 35501-8907 | 2006-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHWEST ALABAMA MENTAL HEALTH CENTER | 1100 7th Ave, Jasper, AL 35501-4377 |
| Street Address |
245 MEDICAL CLINIC DR |
| City | VERNON |
| State | AL |
| Zip Code | 35592-5232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649692922 | Amber Diane Pennington | Nurse Practitioner | 110 Medical Clinic Drive, Vernon, AL 35592 | 2014-01-06 |
| 1063848927 | Encore Rehabilitation, Inc. | Clinic/Center | 44992 Highway 17, Vernon, AL 35592 | 2013-09-23 |
| 1316276751 | Nancy R Kennedy | Counselor | 141 2nd Avenue, Nw, Vernon, AL 35592 | 2009-12-14 |
| 1164624086 | Lamar County | Local Education Agency (LEA) | 150 Butler Circle, Vernon, AL 35592 | 2007-06-04 |
| 1306964812 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 9574 Hwy 18, Vernon, AL 35592 | 2007-03-26 |
| 1609917707 | Lamar Home Care, Inc. | Home Health | 131 1st Ave. Nw, Suite B, Vernon, AL 35592 | 2007-02-09 |
| 1811066863 | Twin States Home Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 131 1st Avn. Nw, Vernon, AL 35592 | 2006-11-06 |
| 1669551677 | Larry Joe Whisenant | Dentist | 121 10th St Nw, Vernon, AL 35592 | 2006-11-02 |
| 1902814262 | Terry L Duke | Pharmacist | 170 5th Street Southwest, Vernon, AL 35592 | 2006-08-03 |
| 1992741284 | Robert William Davis | Family Medicine | 45020 Highway 17, Vernon, AL 35592 | 2006-06-22 |
| Find all providers in zip 35592 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245344472 | Health and Human Services Commission | Psychiatric Hospital | 4730 College Dr, Vernon, TX 76384-4009 | 2006-08-17 |
| 1003190950 | Natchaug Hospital | Psychiatric Hospital | 428 Hartford Tpke, Suite 105, Vernon, CT 06066-4841 | 2011-10-10 |
| 1871614792 | Rajani P. Chaturvedula | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd., Wichita Falls, Tx 76308, Vernon, TX 76384-4009 | 2007-04-02 |
| 1558481846 | Cecile G. Soliven | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd, Wichita Falls, Tx 76308, Vernon, TX 76384-4009 | 2007-03-30 |
| 1891815999 | Lynda B. Ovaert | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd., Wichita Falls, Tx 76308, Vernon, TX 76384-4009 | 2007-03-30 |
| 1841310075 | Nancy E. Barrow | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd, Wichita Falls, Tx 76308, Vernon, TX 76384-4009 | 2007-03-30 |
| 1255451555 | Lauren D. Parsons | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd, Wichita Falls, Tx 76308, Vernon, TX 76384-4009 | 2007-03-30 |
| 1366562696 | Peter G. Fadow | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd, Wichita Falls, Tx 76308, Vernon, TX 76384-4009 | 2007-03-30 |
| 1093835316 | Grant Hulse Wagner | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd, Wichita Falls, Tx 76308, Vernon, TX 76384-4009 | 2007-03-30 |
| 1134249899 | Alexander M. Kalmanov | Psychiatric Hospital | 4730 College Dr, 6515 Kemp Blvd, Vernon, TX 76384-4009 | 2007-03-29 |
| Find all providers in VERNON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.