Organization Active NPI

Medsouthhealthcenter, LLC

  • Physical Medicine & Rehabilitation Physician
  • Montgomery, AL
National Provider Identifier
1184034613
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MEDSOUTHHEALTHCENTER, LLC
Doing business as
MedSouth Health Center & Physical Rehabilitation
Practice address
2200 Madison Ave
Montgomery, AL 36107-1914
Phone
(334) 578-2200
NPI assigned
May 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Darrel Pace
Title
Director/Manager
Phone
(334) 578-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2200 Madison Ave
Montgomery, AL 36107-1914

Mailing address

2200 Madison Ave
Montgomery, AL 36107-1914
Phone (334) 578-2200

Other names 1

  • MedSouth Health Center & Physical Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

2200 Madison Ave
Montgomery, AL 36107
Phone (334) 578-2200

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1184034613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MADISON AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361071914",
            "telephone_number": "334-578-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MADISON AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361071914",
            "telephone_number": "334-578-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOUTHHEALTHCENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "DARREL",
        "authorized_official_title_or_position": "DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "334-578-2200"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedSouth Health Center & Physical Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 6, 2014; 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.