Organization Active NPI

Pickens County Medical Center

Doing business as Paul D Lavender

  • Primary Care Clinic/Center
  • Gordo, AL
National Provider Identifier
1467506469
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PICKENS COUNTY MEDICAL CENTER
Doing business as
Paul D Lavender
Practice address
27340 Hwy 86
Gordo, AL 35466
Phone
(205) 364-7135
Fax
(205) 364-2455
NPI assigned
Jan 23, 2007
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Ms. Kathy P Price
Title
Director of Physician Services
Phone
(205) 367-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

27340 Hwy 86
Gordo, AL 35466

Mailing address

PO Box 360
Carrollton, AL 35447-0360
Phone (205) 364-7135

Other identifiers 1

IdentifierTypeStateIssuer
529922240MedicaidAL

Other names 1

  • Paul D Lavender Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1467506469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "CARROLLTON",
            "state": "AL",
            "postal_code": "354470360",
            "telephone_number": "205-364-7135",
            "fax_number": "205-364-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27340 HWY 86",
            "city": "GORDO",
            "state": "AL",
            "postal_code": "35466",
            "telephone_number": "205-364-7135",
            "fax_number": "205-364-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "205-367-8111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529922240",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul D Lavender",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gordo, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.