NPIMap

Organization Active NPI

Jefferson County Board of Health

Doing business as Central Health Center

  • Public Health or Welfare Agency
  • Birmingham, AL
National Provider Identifier
1336167196
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
JEFFERSON COUNTY BOARD OF HEALTH
Doing business as
Central Health Center
Practice address
1400 6TH Ave S
Birmingham, AL 35233-1502
Phone
(205) 933-9110
Fax
(205) 930-1156
NPI assigned
Jul 18, 2006
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Shewanda Clark
Title
Revenue Integrity Supervisor
Phone
(205) 558-2158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1400 6TH Ave S
Birmingham, AL 35233-1502

Mailing address

PO Box 2648
Birmingham, AL 35202-2648
Phone (205) 933-9110

Other identifiers 6

IdentifierTypeStateIssuer
528502060MedicaidAL
227300000MedicaidAL
227309999MedicaidAL
303700000MedicaidAL
G587OtherALMEDICARE GROUP NUMBER
51050506OtherALBLUE SHIELD OF ALABAMA

Other names 1

  • Central Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428001696 AL Part B Supplier - Clinic/Group Practice 1456348622 Receives reassigned benefits from 14 practitioners
7 other NPIs on this enrollment
Practice locations: Birmingham, AL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0953153JCDH-Central Health Ctr-Primary Care1400 Sixth Avenue South, Birmingham, AL 35233Provider-performed microscopyAug 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Jefferson County Board of Health16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1336167196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2648",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352022648",
            "telephone_number": "205-933-9110",
            "fax_number": "205-930-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331502",
            "telephone_number": "205-933-9110",
            "fax_number": "205-930-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SHEWANDA",
        "authorized_official_title_or_position": "REVENUE INTEGRITY SUPERVISOR",
        "authorized_official_telephone_number": "205-558-2158"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528502060",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227300000",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227309999",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303700000",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "G587",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ALABAMA",
            "identifier": "51050506",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.