NPIMap

Organization Active NPI

Gulf Coast Treatment Center

  • Clinic/Center
  • Grand Bay, AL
National Provider Identifier
1346396397
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AL10034M Issued in AL
Legal business name
GULF COAST TREATMENT CENTER
Practice address
12271 Interchange Rd.
Grand Bay, AL 36541
Phone
(251) 865-0123
Fax
(251) 865-0247
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Ms. Linda Gabriel, M.S., CMA
Title
Executive Director
Phone
(251) 865-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AL10034M AL Primary

Addresses

Primary practice location

12271 Interchange Rd.
Grand Bay, AL 36541

Mailing address

PO Box 1149
Grand Bay, AL 36541-1149
Phone (251) 865-0123

Other identifiers 2

IdentifierTypeStateIssuer
111108OtherALREGISTERED PHARMACY
AL10034MOtherALFEDERAL OTP NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1346396397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1149",
            "city": "GRAND BAY",
            "state": "AL",
            "postal_code": "365411149",
            "telephone_number": "251-865-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12271 INTERCHANGE RD.",
            "city": "GRAND BAY",
            "state": "AL",
            "postal_code": "36541",
            "telephone_number": "251-865-0123",
            "fax_number": "251-865-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-865-0123",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CMA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "AL10034M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACY",
            "identifier": "111108",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL OTP NUMBER",
            "identifier": "AL10034M",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Bay, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.