Alabama Agriculture and Mechanical University

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

ALABAMA AGRICULTURE AND MECHANICAL UNIVERSITY

Doing business as

AAMU Mobile Health Clinic
Alabama A&M University College of Agricultural, Life, and Natural Scie
Alabama A&M University Mobile Health Clinic

Practice address

4900 Meridian St NW
Normal, AL 35762-7500

Phone

(256) 583-3696

NPI assigned

Jun 29, 2021

Last updated

Jul 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ernst Cebert, PHD

Title

Professor

Phone

(256) 929-2036

Specialties & licenses 3

Addresses

Other names 3

• AAMU Mobile Health Clinic Doing business as
• Alabama A&M University College of Agricultural, Life, and Natural Scie Doing business as
• Alabama A&M University Mobile Health Clinic Doing business as

Locations

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1093385379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MERIDIAN ST NW",
            "city": "NORMAL",
            "state": "AL",
            "postal_code": "357627500",
            "telephone_number": "256-583-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MERIDIAN ST NW",
            "city": "NORMAL",
            "state": "AL",
            "postal_code": "357627500",
            "telephone_number": "256-583-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA AGRICULTURE AND MECHANICAL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "CEBERT",
        "authorized_official_first_name": "ERNST",
        "authorized_official_title_or_position": "PROFESSOR",
        "authorized_official_telephone_number": "256-929-2036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAMU Mobile Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alabama A&M University College of Agricultural, Life, and Natural Scie",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alabama A&M University Mobile Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaliyah Roeshell Abernathy
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• Temilayo Renee Anthony
• Jordan Bailey
• Brandon Allen Barnard, ATC, LAT
• Corey Stephen Battle
• Lashunta Boler

• Community Health Clinic/Center in Normal, AL
• Providers in Normal, AL by specialty
• Community Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.