NPIMap

Organization Active NPI

Pickens County Medical Center, Inc

Doing business as Reform Primary Care Clinic

  • Primary Care Clinic/Center
  • Reform, AL
National Provider Identifier
1104183334
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PICKENS COUNTY MEDICAL CENTER, INC
Doing business as
Reform Primary Care Clinic
Practice address
514 10TH Ave S W
Reform, AL 35481-0514
Phone
(205) 375-6251
Fax
(205) 375-9064
NPI assigned
Apr 12, 2012
Last updated
Jul 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Regina A Beams
Title
Unit Leader Physician Services
Phone
(205) 367-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

514 10TH Ave S W
Reform, AL 35481-0514

Mailing address

PO Box 347
Carrollton, AL 35447-0347
Phone (205) 367-8111

Other names 1

  • REFORM PRIMARY CARE CLINIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1104183334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "CARROLLTON",
            "state": "AL",
            "postal_code": "354470347",
            "telephone_number": "205-367-8111",
            "fax_number": "205-367-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 10TH AVE S W",
            "city": "REFORM",
            "state": "AL",
            "postal_code": "354810514",
            "telephone_number": "205-375-6251",
            "fax_number": "205-375-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS COUNTY MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "BEAMS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "UNIT LEADER PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "205-367-8111"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REFORM PRIMARY CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reform, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.