NPIMap

Organization Active NPI

Alabama Department of Rehabilitation Services

  • Hematology (Internal Medicine) Physician
  • Montgomery, AL
National Provider Identifier
1083768915
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
Legal business name
ALABAMA DEPARTMENT OF REHABILITATION SERVICES
Practice address
602 S Lawrence St
Montgomery, AL 36104-4787
Phone
(334) 293-7500
Fax
(334) 293-7373
NPI assigned
Jan 22, 2007
Last updated
Jan 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Mr. Cary Boswell
Title
Commissioner
Phone
(334) 293-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X Primary

Addresses

Primary practice location

602 S Lawrence St
Montgomery, AL 36104-4787

Mailing address

602 S Lawrence St
Montgomery, AL 36104-4787
Phone (334) 293-7500

Other identifiers 1

IdentifierTypeStateIssuer
000310003MedicaidAL

Other names 1

  • Children's Rehabilitation Service Other name

National Provider Directory

National Provider Directory
Tax ID family
Butler County Health Dept45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1083768915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S LAWRENCE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361044787",
            "telephone_number": "334-293-7500",
            "fax_number": "334-293-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S LAWRENCE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361044787",
            "telephone_number": "334-293-7500",
            "fax_number": "334-293-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA DEPARTMENT OF REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "334-293-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000310003",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Rehabilitation Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.