NPIMap

Organization Active NPI

Pickens County Health Care Authority

  • Primary Care Clinic/Center
  • Gordo, AL
National Provider Identifier
1134473952
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PICKENS COUNTY HEALTH CARE AUTHORITY
Practice address
27340 Highway 86
Gordo, AL 35466-3578
Phone
(205) 364-7135
Fax
(205) 364-8244
NPI assigned
Oct 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Mrs. Regina A Beams
Title
Unit Leader Physician Sevices
Phone
(205) 367-8111

Specialties & licenses 1

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

Addresses

Primary practice location

27340 Highway 86
Gordo, AL 35466-3578

Mailing address

PO Box 360
Carrollton, AL 35447-0360
Phone (205) 364-7135

Other names 1

  • Gordo Primary Care Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gordo Primary Care Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1134473952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "CARROLLTON",
            "state": "AL",
            "postal_code": "354470360",
            "telephone_number": "205-364-7135",
            "fax_number": "205-364-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27340 HIGHWAY 86",
            "city": "GORDO",
            "state": "AL",
            "postal_code": "354663578",
            "telephone_number": "205-364-7135",
            "fax_number": "205-364-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS COUNTY HEALTH CARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "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 SEVICES",
        "authorized_official_telephone_number": "205-367-8111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordo Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gordo, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.