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MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES NPI 1659313393


NPI Information

NPI: 1659313393
Provider Name: MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES

Doing Business As: INDIAN RIVERS MHC

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2209 9TH ST
TUSCALOOSA, AL
ZIP 35401
Phone: (205) 391-3131
Get Directions

MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES is a mental health (including community mental health center) clinic center in Tuscaloosa, AL. MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES NPI is 1659313393. The provider is registered as an organization entity type.
The provider Is Doing Business As Indian Rivers Mhc.

The provider's business location address is:

2209 9TH ST
TUSCALOOSA, AL
ZIP 35401-300
Phone: (205) 391-3131
Fax: (205) 391-3137

The provider's authorized official is Blake Thrasher .
The authorized official title is Cfo and has the following contact phone number (205) 391-3131.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 1/23/2012.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)ALABAMAYes

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
1590000024MEDICAIDALABAMA
2330000024MEDICAIDALABAMA
351008111MEDICARE ID-TYPE UNSPECIFIEDALABAMA
451008111OTHERALABAMABCBS OF AL
5330034024MEDICAIDALABAMA
6528700510MEDICAIDALABAMA

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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