MONTGOMERY AIDS OUTREACH, INC. (NPI# 1689651408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689651408 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY AIDS OUTREACH, INC. |
| Other Organization Name | COPELAND CARE CLINIC |
| Practice Address |
2900 Mcgehee Rd Montgomery AL 36111 |
| Mailing Address |
Po Box 11087 Montgomery AL 36111-0087 |
| Practice Telephone | 3342803349 |
| Practice Fax Number | 3343561426 |
| Mailing Telephone | 3342803349 |
| Mailing Fax Number | 3343561426 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2018-06-04 |
| Authorized Official Name | MR. MICHAEL R MURPHREE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3342803349 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
L5111 TYPE R | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529401770 | 05 |
| Other Name | Type Code |
|---|---|
| COPELAND CARE CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316471 | Montgomery Aids Outreach, Inc. | Clinic/Center | 3052 Mcgehee Rd, Montgomery, AL 36111-2203 | 2019-10-03 |
| Street Address |
2900 MCGEHEE RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357707 | Mary Frances Felder | Dietitian, Registered | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2020-02-11 |
| 1578027587 | Jennifer G Thompson | Social Worker | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2019-01-23 |
| 1831681071 | Kirstie A Tyson | Counselor | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2018-06-04 |
| 1679004436 | Montgomery Aids Outreach Inc | Pharmacy | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2017-03-23 |
| 1396276127 | Jawaneka P Ellerson | Nurse Practitioner | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2017-03-23 |
| 1659821874 | Bobby Golden Jr. | Licensed Practical Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
| 1417407669 | Alexa Penn | Registered Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
| 1164972238 | Diane Weil | Registered Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
| 1023568177 | Cassandra Blakely | Licensed Practical Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
| 1306396478 | Kelly Johnston | Registered Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578922191 | Travis A Thompson | Dentist | 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 | 2016-02-11 |
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1063823805 | Andrea Olofson | Pathology | 2055 Normandie Dr Ste 214, Montgomery, AL 36111 | 2014-05-14 |
| 1952609505 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Psychiatry & Neurology | 4225 Narrow Lane Road, Montgomery, AL 36111 | 2011-03-07 |
| 1801082839 | River Region Hospital | Psychiatric Hospital | 4385 Narrow Lane Road, Montgomery, AL 36111 | 2007-09-24 |
| 1942330568 | Jefferson Underwood, IIi, Md, PC | Internal Medicine | 2173 Normandie Dr, Montgomery, AL 36111 | 2007-03-06 |
| 1659456606 | Jefferson Underwood | Internal Medicine | 2171 Normandie Dr, Montgomery, AL 36111 | 2006-10-26 |
| 1548340953 | William John Knox IIi | Otolaryngology | 2163 Normandie Drive, Montgomery, AL 36111 | 2006-10-17 |
| 1669573465 | Bennie R Hamner | Surgery | 2027 Normandie Drive, Montgomery, AL 36111 | 2006-09-26 |
| 1669963617 | Dhwani Chotalia | Nurse Practitioner | 2908 Mcgehee Rd, Montgomery, AL 36111 | 2018-05-25 |
| Find all providers in zip 36111 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1801967245 | Rheumatology Specialists Arthritis &osteoporosis Center | Clinic/Center | 500 Arba St, Montgomery, AL 36104-5108 | 2006-11-09 |
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| 1942668397 | Jerry Dillard Md | Clinic/Center | 206 W Dallas Ave, Selma, AL 36701-6531 | 2016-01-31 |
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| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36111 |
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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.