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PICKENS COUNTY MEDICAL CENTER SENIOR CARE OUTPATIENT CLINIC NPI 1285817890


NPI Information

NPI: 1285817890
Provider Name: PICKENS COUNTY MEDICAL CENTER SENIOR CARE OUTPATIENT CLINIC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
241 HWY 17 N
CARROLLTON, AL
ZIP 35447
Phone: (205) 367-1192
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PICKENS COUNTY MEDICAL CENTER SENIOR CARE OUTPATIENT CLINIC is a mental health counselor in Carrollton, AL. PICKENS COUNTY MEDICAL CENTER SENIOR CARE OUTPATIENT CLINIC NPI is 1285817890. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

241 HWY 17 N
CARROLLTON, AL
ZIP 35447
Phone: (205) 367-1192

The provider's authorized official is H Wayne Mcelroy .
The authorized official title is Administrator and has the following contact phone number (205) 367-8111.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 12/6/2007.


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
1101YM0800XCounselorMental HealthYes

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
1C75865MEDICARE UPIN

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: 4/28/2024

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