NPIMap

Organization Active NPI

Tombigbee Healthcare Authority

  • Case Manager/Care Coordinator
  • Demopolis, AL
National Provider Identifier
1003978628
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
H4601 Issued in AL
Legal business name
TOMBIGBEE HEALTHCARE AUTHORITY
Doing business as
HEALTHSTART 7
Practice address
105 US Highway 80 E
Demopolis, AL 36732-3605
Phone
(334) 289-4000
Fax
(334) 287-2594
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Mr. Michael D Marshall
Title
Ceo Administrator
Phone
(334) 287-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X H4601 AL Primary

Addresses

Primary practice location

105 US Highway 80 E
Demopolis, AL 36732-3605

Mailing address

PO Box 890
Demopolis, AL 36732-0890
Phone (334) 289-4000

Other identifiers 1

IdentifierTypeStateIssuer
580500007MedicaidAL

Other names 1

  • HEALTHSTART 7 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tombigbee Healthcare Authority10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1003978628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367320890",
            "telephone_number": "334-289-4000",
            "fax_number": "334-287-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 US HIGHWAY 80 E",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367323605",
            "telephone_number": "334-289-4000",
            "fax_number": "334-287-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMBIGBEE HEALTHCARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "334-287-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "AL",
            "license": "H4601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580500007",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHSTART 7",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Demopolis, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.