NPIMap

Organization Active NPI

Community Service Programs of West Al Inc

  • Case Management Agency
  • Tuscaloosa, AL
National Provider Identifier
1376699116
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMUNITY SERVICE PROGRAMS OF WEST AL INC
Practice address
2002 McFarland Blvd E
Suite 209
Tuscaloosa, AL 35404
Phone
(205) 752-0476
Fax
(205) 752-8122
NPI assigned
Jan 26, 2007
Reactivated
Apr 30, 2008
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Mary Beth Vick
Title
Supervisor
Phone
(205) 752-0476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

2002 McFarland Blvd E
Suite 209
Tuscaloosa, AL 35404

Mailing address

601 17TH Street
Tuscaloosa, AL 35401-6311
Phone (205) 752-0476

Other identifiers 1

IdentifierTypeStateIssuer
591500002MedicaidALTCM PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Community Service Programs of West Al Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1376699116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 17TH STREET",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354016311",
            "telephone_number": "205-752-0476",
            "fax_number": "205-752-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MCFARLAND BLVD E",
            "address_2": "SUITE 209",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35404",
            "telephone_number": "205-752-0476",
            "fax_number": "205-752-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICE PROGRAMS OF WEST AL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-04-30",
        "deactivation_date": "2007-02-14",
        "reactivation_date": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "VICK",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "205-752-0476"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "TCM PROVIDER NUMBER",
            "identifier": "591500002",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.