NPIMap

Organization Active NPI

Addiction & Mental Health Services, LLC

Doing business as Bradford Health Services

  • Substance Abuse Rehabilitation Facility
  • Northport, AL
National Provider Identifier
1063560415
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ADDICTION & MENTAL HEALTH SERVICES, LLC
Doing business as
Bradford Health Services
Practice address
515 Energy Center Blvd
Northport, AL 35473-2797
Phone
(205) 752-1395
Fax
(205) 758-0571
NPI assigned
Jan 8, 2007
Last updated
Oct 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Mark Edwards
Title
Cfo
Phone
(205) 244-8112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

515 Energy Center Blvd
Northport, AL 35473-2797

Mailing address

2101 Magnolia Ave S Ste 518
Birmingham, AL 35205-2853
Phone (205) 251-7753

Other names 1

  • Bradford Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Addiction Mental Health Services Inc51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

515 Energy Center Blvd
Northport, AL 35473
Phone (205) 750-0227

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1063560415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MAGNOLIA AVE S STE 518",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052853",
            "telephone_number": "205-251-7753",
            "fax_number": "205-251-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ENERGY CENTER BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354732797",
            "telephone_number": "205-752-1395",
            "fax_number": "205-758-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION & MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-244-8112"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradford Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bradford Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.