PICKENS COUNTY HEALTH CARE AUTHORITY (NPI# 1770837395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770837395 |
Entity Type | Organization |
Organization Name | PICKENS COUNTY HEALTH CARE AUTHORITY |
Other Organization Name | REFORM PRIMARY CARE CLINIC |
Practice Address |
514 10th Ave S W Reform AL 35481-0514 |
Mailing Address |
Po Box 347 Carrollton AL 35447-0347 |
Practice Telephone | 2053756251 |
Practice Fax Number | 2053759064 |
Mailing Telephone | 2053756251 |
Mailing Fax Number | 2053759064 |
Enumeration Date | 2012-11-05 |
Last Update Date | 2013-08-19 |
Authorized Official Name | MR. HENRY W MCELROY (ADMINISTRATOR) |
Authorized Official Telephone | 2053678111 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Reform Primary Care Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871847418 | Pickens County Health Care Authority | Home Health | 241 Robert K. Wilson Drive, Carrollton, AL 35447 | 2012-11-05 |
1306190921 | Pickens County Health Care Authority | Clinic/Center | 289 William E Hill Dr Ste C, Carrollton, AL 35447-3247 | 2012-11-05 |
1225382898 | Pickens County Health Care Authority | Psychologist | 241 Robert K Wilson Dr, Carrollton, AL 35447-0241 | 2012-11-05 |
1093069569 | Pickens County Health Care Authority | Emergency Medicine | 241 Robert K Wilson Drive, Carrollton, AL 35447-0478 | 2012-11-05 |
1134473770 | Pickens County Health Care Authority | Durable Medical Equipment & Medical Supplies | 96 Court Square, Carrollton, AL 35447 | 2012-11-05 |
1134473952 | Pickens County Health Care Authority | Clinic/Center | 27340 Highway 86, Gordo, AL 35466-3578 | 2012-10-31 |
1316290430 | Pickens County Health Care Authority | Psychiatric Unit | 241 Robert K Wilson Drive, Carrollton, AL 35447-0478 | 2012-10-26 |
1043563166 | Pickens County Health Care Authority | Medicare Defined Swing Bed Unit | 241 Robert K Wilson Drive, Carrollton, AL 35447-0478 | 2012-10-26 |
1720331481 | Pickens County Health Care Authority | General Acute Care Hospital | 241 Robert K Wilson Dr, Carrollton, AL 35447-0478 | 2012-10-18 |
Street Address |
514 10TH AVE S W |
City | REFORM |
State | AL |
Zip Code | 35481-0514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104183334 | Pickens County Medical Center, Inc | Clinic/Center | 514 10th Ave S W, Reform, AL 35481-0514 | 2012-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003476714 | Growing In The Dark Counseling Services | Counselor | 402 3rd Ave Sw, Reform, AL 35481 | 2019-06-14 |
1508332446 | Pickens County Primary Care, P.c | Family Medicine | 815 7th Ave Sw, Reform, AL 35481 | 2018-10-18 |
1679824684 | Kristin Hamner | Occupational Therapy Assistant | 515 2nd Avenue Nw, Reform, AL 35481 | 2012-10-01 |
1750509394 | Meredith L Mettee | Home Health | 216 1st St S, Reform, AL 35481 | 2007-04-20 |
1043313661 | Landreth & Associates Inc | Optometrist | 311 1st Street, Reform, AL 35481 | 2006-09-07 |
1780627356 | Harry Lee Richardson Jr. | Emergency Medicine | 514 10th Ave Sw, Reform, AL 35481 | 2006-06-13 |
1356381222 | Reform Pharmacy Inc | Pharmacy | 211 1st Street South, Reform, AL 35481 | 2006-06-07 |
1437626868 | Pickens County Primary Care, PC | Family Medicine | 205 4th Ave, Reform, AL 35481 | 2018-10-24 |
1457774200 | Cacyce Fowler | Nurse Practitioner | 108 4th Ave Sw Ste A, Reform, AL 35481 | 2014-01-30 |
1023303013 | Brenda Sue Robertson | Physical Therapy Assistant | 515 2nd Ave Nw, Reform, AL 35481 | 2011-06-17 |
Find all providers in zip 35481 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568016004 | Fenton Chiropractic LLC | Clinic/Center | 301 1st St S, Reform, AL 35481-8013 | 2019-08-01 |
1104183334 | Pickens County Medical Center, Inc | Clinic/Center | 514 10th Ave S W, Reform, AL 35481-0514 | 2012-04-12 |
1629491451 | Pickens County Primary Care PC | Clinic/Center | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2014-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891316758 | Modern Health Family Care Practice | Clinic/Center | 13000 Cottonwood Rd, Cottonwood, AL 36320-4280 | 2020-05-01 |
1487274650 | Faith Medical Clinic LLC | Clinic/Center | 64 Mccurdy Ave N, Rainsville, AL 35986-4465 | 2020-04-17 |
1386283471 | E A Mccleskey, Do, LLC | Clinic/Center | 103 Intercom Dr Ste B, Madison, AL 35758-2641 | 2020-01-06 |
1568012755 | Watchman's Health PC | Clinic/Center | 1501 7th St Se Ste A, Decatur, AL 35601-3375 | 2019-09-19 |
1184273096 | Spedale Md PC | Clinic/Center | 3113 Wesley Way Ste 1, Dothan, AL 36305-2004 | 2019-09-04 |
1124675459 | Mainstreet Family Care LLC | Clinic/Center | 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 | 2019-08-21 |
1568967081 | Bernice R Swain Do Pllc | Clinic/Center | 2424 Danville Rd Sw Ste L, Decatur, AL 35603-4219 | 2018-03-27 |
1578088001 | Coastal Health & Wellness | Clinic/Center | 14 Confederate Dr S, Spanish Fort, AL 36527-3062 | 2017-08-05 |
1760918494 | Killen Urgent Care, Inc. | Clinic/Center | 152 J C Mauldin Hwy, Killen, AL 35645-9106 | 2017-05-01 |
1922546357 | Medcenter Primary Care | Clinic/Center | 4960 Rice Mine Road Ne, Ste 10, Northport, AL 35476-2838 | 2017-02-06 |
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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.