NPIMap

Organization Active NPI

Charles Henderson Memorial Association

Doing business as Charles Henderson Child Health Center

  • Clinic/Center
  • Troy, AL
National Provider Identifier
1346207131
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHARLES HENDERSON MEMORIAL ASSOCIATION
Doing business as
Charles Henderson Child Health Center
Practice address
1300 Highway 231 S
Troy, AL 36081-3058
Phone
(334) 566-7600
Fax
(334) 566-1445
NPI assigned
Apr 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jerri B Smith
Title
Financial Manager
Phone
(334) 566-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1300 Highway 231 S
Troy, AL 36081-3058

Mailing address

PO Box 928
Troy, AL 36081-0928
Phone (334) 566-7600

Other names 1

  • Charles Henderson Child 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
O20051122000686 AL Part B Supplier - Clinic/Group Practice 2264452069 Practice locations: Troy, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346207131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 928",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360810928",
            "telephone_number": "334-566-7600",
            "fax_number": "334-566-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HIGHWAY 231 S",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813058",
            "telephone_number": "334-566-7600",
            "fax_number": "334-566-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES HENDERSON MEMORIAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JERRI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "334-566-7600"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles Henderson Child Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.