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JEFFERSON-BLOUNT-ST. CLAIR MH/MR AUTHORITY NPI 1174799308


NPI Information

NPI: 1174799308
Provider Name: JEFFERSON-BLOUNT-ST. CLAIR MH/MR AUTHORITY

Other Name: JBS MH/MR AUTHORITY

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
940 MONTCLAIR RD
SUITE 200
BIRMINGHAM, AL
ZIP 35213
Phone: (205) 595-4555
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JEFFERSON-BLOUNT-ST. CLAIR MH/MR AUTHORITY is a mental health (including community mental health center) clinic center in Birmingham, AL. JEFFERSON-BLOUNT-ST. CLAIR MH/MR AUTHORITY NPI is 1174799308. The provider is registered as an organization entity type.
The provider Other Name Is Jbs Mh/mr Authority.

The provider's business location address is:

940 MONTCLAIR RD
SUITE 200
BIRMINGHAM, AL
ZIP 35213-217
Phone: (205) 595-4555
Fax: (205) 592-3539

The provider's authorized official is Richard Craig .
The authorized official title is Executive Director and has the following contact phone number (205) 595-4555.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 6/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1330034017MEDICAIDALABAMA
2330000017MEDICAIDALABAMA
3590000017MEDICAIDALABAMA
4008506000MEDICAIDALABAMA
5515-11694OTHERALABAMABCBS ALL KIDS PLUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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