NPIMap

Organization Active NPI

Pickens County Health Care Authority

Doing business as Carrollton Primary Care

  • Rural Health Clinic/Center
  • Carrollton, AL
National Provider Identifier
1306190921
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PICKENS COUNTY HEALTH CARE AUTHORITY
Doing business as
Carrollton Primary Care
Practice address
289 William E Hill Dr Ste C
Carrollton, AL 35447-3247
Phone
(205) 367-8197
Fax
(205) 367-8198
NPI assigned
Nov 5, 2012
Last updated
Jul 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Mr. Henry W McElroy
Title
Administrator
Phone
(202) 367-8111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

289 William E Hill Dr Ste C
Carrollton, AL 35447-3247

Mailing address

PO Box 347
Carrollton, AL 35447-0347
Phone (205) 367-8197

Other names 1

  • Carrollton Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

194 William E Hill Dr
Carrollton, AL 35447
Phone (205) 367-2407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1306190921",
    "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": "205-367-8197",
            "fax_number": "205-367-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 WILLIAM E HILL DR STE C",
            "city": "CARROLLTON",
            "state": "AL",
            "postal_code": "354473247",
            "telephone_number": "205-367-8197",
            "fax_number": "205-367-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS COUNTY HEALTH CARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "MCELROY",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "202-367-8111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrollton Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, AL

Sources for this page

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