DEKALB COUNTY MR BOARD (NPI# 1720112014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720112014 |
| Entity Type | Organization |
| Organization Name | DEKALB COUNTY MR BOARD |
| Practice Address |
117 First St Nw Fort Payne AL 35967 |
| Practice Telephone | 2568451097 |
| Mailing Telephone | 2568451097 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AMANDA WICKS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2058451097 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251B00000X | Case Management | Agencies | ||
| X | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
117 FIRST ST NW |
| City | FORT PAYNE |
| State | AL |
| Zip Code | 35967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073086922 | Ft Payne Careplus, LLC | Clinic/Center | 3000 Gault Ave North, Ft Payne, AL 35967 | 2019-01-03 |
| 1851739023 | Marlon Chad Williamson | Emergency Medicine | 617 Gault Ave N, Fort Payne, AL 35967 | 2013-06-11 |
| 1447552401 | Karole Kelley Ohme | Counselor | 216 Gault Avenue N, Relationship Clinic, Fort Payne, AL 35967 | 2010-11-24 |
| 1447275490 | Glynn Whiddon Odom | Nurse Anesthetist, Certified Registered | 200 Medical Center Drive, Fort Payne, AL 35967 | 2006-07-12 |
| 1477521698 | Michael Ray Parker | Optometrist | 900 Gault Ave S, Fort Payne, AL 35967 | 2006-03-14 |
| 1144204843 | Dale Ray Stierwalt | Family Medicine | 1618 Gault Ave. N., Fort Payne, AL 35967 | 2005-12-06 |
| 1417951112 | Barton Drake Ibsen | Physical Therapist | 121 Drinkard Dr, Fort Payne, AL 35967 | 2005-06-09 |
| 1407363146 | Tyson Scott Rainer | Nurse Practitioner | 1040 Glenn Blvd Sw, Fort Payne, AL 35967 | 2018-01-03 |
| 1801336599 | Caitlin Kirby | Massage Therapist | 216 Gault Ave N, Fort Payne, AL 35967 | 2017-03-01 |
| 1972935898 | Graceful Gynecology, Inc. | Clinic/Center | 2114 Gault Ave N, Fort Payne, AL 35967 | 2013-08-01 |
| Find all providers in zip 35967 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861654238 | Comprehensive Healthcare Consulting, LLC | Case Management | 1655 County Road 79, Attn: Dr. Adiel Brewster-greenstein, Fort Payne, AL 35967-5835 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494638 | Lorraine Buchannon | Case Management | 166 Powerline Rd, Auburn, AL 36830-1322 | 2020-10-14 |
| 1356949168 | Vernice J Maiga | Case Management | 449 Shadow Wood Dr, Smiths Station, AL 36877-4835 | 2020-10-14 |
| 1528671542 | Grateful Recovery Inc. | Case Management | 3702 Williamsburg Dr Nw, Huntsville, AL 35810-2654 | 2020-08-28 |
| 1841801917 | Reach Kidney Care LLC | Case Management | 561 Fairhope Ave, Fairhope, AL 36532-2128 | 2020-08-12 |
| 1740891811 | Reach Kidney Care LLC | Case Management | 810 Hedstrom Dr Ste 2, Dothan, AL 36301-4774 | 2020-08-12 |
| 1356952428 | Reach Kidney Care LLC | Case Management | 200 Interstate Park Dr Ste 288, Montgomery, AL 36109-5431 | 2020-08-12 |
| 1154930758 | Reach Kidney Care LLC | Case Management | 801 Noble St Ste 310, Anniston, AL 36201-5698 | 2020-07-29 |
| 1710596309 | Reach Kidney Care LLC | Case Management | 5920 Grelot Rd Ste C1, Mobile, AL 36609-3606 | 2020-07-29 |
| 1952910549 | Reach Kidney Care LLC | Case Management | 2204 Whitesburg Dr Sw Ste 220, Huntsville, AL 35801-4507 | 2020-07-29 |
| 1053964569 | Dialysis Clinic Inc | Case Management | 300 Cahaba Park Cir Ste 208, Birmingham, AL 35242-5043 | 2019-07-23 |
| Find all providers with the same taxonomy | ||||
| City | FORT PAYNE |
| Zip Code | 35967 |
Please comment or provide details below to improve the information on DEKALB COUNTY MR BOARD.
| 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.