NPIMap

Organization Active NPI

Auburn University

Doing business as SEIB Healthcare Center

  • Health Service Clinic/Center
  • Montgomery, AL
National Provider Identifier
1376836163
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
AUBURN UNIVERSITY
Doing business as
SEIB Healthcare Center
State Employee's Insurance Board Healthcare Center
Practice address
101 S Union St
Montgomery, AL 36130-3022
Phone
(334) 263-8470
Fax
(334) 263-8670
NPI assigned
May 26, 2011
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Gregory Peden
Title
Executive Director
Phone
(334) 844-4099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

101 S Union St
Montgomery, AL 36130-3022

Mailing address

101 South Union Street
Montgomery, AL 36104
Phone (334) 844-8670

Other names 2

  • SEIB Healthcare Center Doing business as
  • State Employee's Insurance Board Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210901003909 AL Part B Supplier - Mass Immunization (Roster Biller Only) 2365735750 Practice locations: Montgomery, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Auburn University

    dba Auburn University Speech & Hearing Clinic

    • Speech-Language Pathologist
    • Auburn University, AL
    • NPI 1235316753

    2365735750

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Auburn University at Montgomery Student Health Services16 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

Locations

101 S Union St
Montgomery, AL 36130
Phone (334) 263-8460

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1376836163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SOUTH UNION STREET",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36104",
            "telephone_number": "334-844-8670",
            "fax_number": "334-844-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S UNION ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361303022",
            "telephone_number": "334-263-8470",
            "fax_number": "334-263-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "PEDEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-844-4099"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEIB Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "State Employee's Insurance Board Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.