NPIMap

Organization Active NPI

State of Alabama Dept of Finace

Doing business as Taylor Hardin Secure Medical Facility

  • Psychiatric Hospital
  • Tuscaloosa, AL
National Provider Identifier
1437295409
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
STATE OF ALABAMA DEPT OF FINACE
Doing business as
Taylor Hardin Secure Medical Facility
Practice address
1301 Jack Warner Parkway, Northeast
Tuscaloosa, AL 35404-1060
Phone
(205) 556-7060
Fax
(205) 556-1198
NPI assigned
Jan 29, 2007
Last updated
Feb 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Ms. Shelia D Taylor, BSN, MPH
Title
Facility Director
Phone
(205) 556-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

1301 Jack Warner Parkway, Northeast
Tuscaloosa, AL 35404-1060

Mailing address

1301 Jack Warner Parkway, Northeast
Tuscaloosa, AL 35404-1060
Phone (205) 556-7060

Other names 1

  • Taylor Hardin Secure Medical Facility Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000194 AL Part B Supplier - Clinic/Group Practice 5698684090 Receives reassigned benefits from 32 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tuscaloosa, AL; Mount Vernon, AL; Montgomery, AL; Decatur, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437295409. Details of each certification follow.

Hospital certification: CCN 014011

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TAYLOR HARDIN SECURE MEDICAL FACILITY
Certification status
Terminated Voluntary: merger or closure, Aug 28, 2014
Provider type (POS)
Hospital – Psychiatric
Participating since
Oct 1, 1994
Last certification
Jun 30, 2010
Beds
114 (24 certified)
Ownership / control type
State
Facility address
1301 Jack Warner Parkway
Tuscaloosa, AL 35404

Other NPIs on the same Medicare enrollment 5

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2311641Taylor Hardin Secure Medical Facility1301 Jack Warner Parkway NE, Tuscaloosa, AL 35404Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2140 Upper Wetumpka Rd
Montgomery, AL 36107
Phone (334) 262-0363

501 Dexter Ave
Montgomery, AL 36104
Phone (334) 242-4825

725 E Coy Smith Hwy
Mount Vernon, AL 36560
Phone (251) 662-6700

115 Harper Ct
Tuscaloosa, AL 35401
Phone (205) 366-3010

1301 Jack Warner Pkwy NE
Tuscaloosa, AL 35404
Phone (205) 462-4500

Practitioners & affiliated clinicians

Practitioners 79

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 79

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1437295409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 JACK WARNER PARKWAY, NORTHEAST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354041060",
            "telephone_number": "205-556-7060",
            "fax_number": "205-556-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 JACK WARNER PARKWAY, NORTHEAST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354041060",
            "telephone_number": "205-556-7060",
            "fax_number": "205-556-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ALABAMA DEPT OF FINACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "205-556-7060",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, MPH"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Hardin Secure Medical Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.