Organization Active NPI

The Arc of Walker County

  • Developmental Disabilities Clinic/Center
  • Jasper, AL
National Provider Identifier
1003935198
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
THE ARC OF WALKER COUNTY
Practice address
745 Russell Dairy Road
Jasper, AL 35503
Phone
(205) 387-8151
Fax
(205) 387-8210
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lou Vick
Title
Executive Director
Phone
(205) 387-0562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

745 Russell Dairy Road
Jasper, AL 35503

Mailing address

745 Russell Dairy Road
Jasper, AL 35503
Phone (205) 387-8151

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Walker County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

745 Russell Dairy Rd
Jasper, AL 35503
Phone (205) 387-0562

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1003935198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 RUSSELL DAIRY ROAD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35503",
            "telephone_number": "205-387-8151",
            "fax_number": "205-387-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 RUSSELL DAIRY ROAD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35503",
            "telephone_number": "205-387-8151",
            "fax_number": "205-387-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF WALKER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "VICK",
        "authorized_official_first_name": "LOU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-387-0562"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.