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MONTGOMERY AREA MENTAL HEALTH AUTHORITY INC NPI 1710012398


NPI Information

NPI: 1710012398
Provider Name: MONTGOMERY AREA MENTAL HEALTH AUTHORITY INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 01D2109395

Address:
111 COLISEUM BLVD
MONTGOMERY, AL
ZIP 36109
Phone: (334) 279-7830
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MONTGOMERY AREA MENTAL HEALTH AUTHORITY INC is a mental health (including community mental health center) clinic center in Montgomery, AL. MONTGOMERY AREA MENTAL HEALTH AUTHORITY INC NPI is 1710012398. The provider is registered as an organization entity type.

The provider's business location address is:

111 COLISEUM BLVD
MONTGOMERY, AL
ZIP 36109-707
Phone: (334) 279-7830
Fax: (334) 277-8862

The provider's authorized official is Henry E. Parker .
The authorized official title is Executive Director and has the following contact phone number (334) 279-7830.

The CLIA number assigned to this NPI record is 01D2109395 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 11/14/2011.


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
151008123OTHERALABAMABLUE CROSS BLUE SHIELD

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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