NPIMap

Organization Active NPI

Christ Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Birmingham, AL
National Provider Identifier
1417426701
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHRIST HEALTH CENTER INC
Practice address
5804 1St Ave S
Birmingham, AL 35212-2524
Phone
(205) 380-9436
NPI assigned
Nov 16, 2018
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Robert Rex Record, MD
Title
Ceo
Phone
(205) 380-9447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

5804 1St Ave S
Birmingham, AL 35212-2524

Mailing address

5720 1St Ave S
Birmingham, AL 35212-2522
Phone (205) 612-1684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061103000498 AL Part B Supplier - Clinic/Group Practice 9931106986 Receives reassigned benefits from 41 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Center Point, AL; Birmingham, AL
O20190228001759 AL Part A Provider - Federally Qualified Health Center (FQHC) 9931106986 Practice locations: Birmingham, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417426701. Details of each certification follow.

Federally qualified health center certification: CCN 011047

Legal name
CHRIST HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 28, 2019
Last certification
Feb 28, 2019
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Nov 18, 2004 in AL
Enrollment address
5804 1St Ave S
Birmingham, AL 35212-2524

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5804 1st Ave S
Birmingham, AL 35212
Phone (205) 380-9450

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Hoyt Yoe Individual Corporate DirectorBoard Member Mar 1, 2017
Dilma Carter Individual Corporate DirectorBoard Member Apr 1, 2017
Barry Howton Individual Corporate DirectorBoard Member Oct 1, 2016
Robert R Record Individual Corporate DirectorCeo/Director Jan 1, 2014
W-2 Managing EmployeeChief Executive Officer Dec 21, 2005
Tarana Billups Individual Corporate DirectorBoard Member Aug 1, 2017
Jenny O Sobera Individual Corporate DirectorBoard Chair Jan 1, 2023
Michael Flink Individual Corporate DirectorBoard Member Nov 1, 2017

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Christ Health Center IncBirmingham, AL, CCN 011012 Federally qualified health center Operational/Managerial Control Oct 25, 2013
Christ Health Center IncCenter Point, AL, CCN 011038 Federally qualified health center Other (100%) Jul 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

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": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1417426701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 1ST AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352122522",
            "telephone_number": "205-612-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 1ST AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352122524",
            "telephone_number": "205-380-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIST HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "RECORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "REX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-380-9447",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.