Active NPI
Shelby County
- Local Education Agency (LEA)
- Columbiana, AL
National Provider Identifier
1396879102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- SHELBY COUNTY
- Practice address
- 410 E College St
Columbiana, AL 35051-9301 - Phone
- (205) 682-7000
- NPI assigned
- Mar 15, 2007
- Last updated
- Jun 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Randy Fuller
- Title
- Superintendent
- Phone
- (205) 682-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
410 E College St
Columbiana, AL 35051-9301
Mailing address
PO Box 1910
Columbiana, AL 35051-1910
Phone (205) 682-7000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052059000 | Medicaid | AL | |
| 065059000 | Medicaid | AL | |
| 022059000 | Medicaid | AL | |
| 068059000 | Medicaid | AL | |
| 064059000 | Medicaid | AL | |
| 089059000 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
410 E College St
Columbiana, AL 35051
Phone (205) 682-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1396879102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1910",
"city": "COLUMBIANA",
"state": "AL",
"postal_code": "350511910",
"telephone_number": "205-682-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E COLLEGE ST",
"city": "COLUMBIANA",
"state": "AL",
"postal_code": "350519301",
"telephone_number": "205-682-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELBY COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "FULLER",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "205-682-7000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052059000",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065059000",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022059000",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068059000",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064059000",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089059000",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbiana, AL
- PT Solutions of Montgomery, LLC
- Kendall Ryan Puckett, M.D.
- Quality 1 Home Care LLC
- Julia Christina Reis
- Shangri-la Assisted Living, LLC (Shangri-La Specialty Care Assisted Living Facility)
- Nicole Siegfried, PHD
- Smart Dental Holdings, LLC (Luma Dentistry - Columbiana)
- Smart Dental Holdings, LLC (Luma Dentistry Columbiana)
- Southeast Shelby County Emergency Medical Rescue Inc
- Southern Family Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.