NPIMap

Organization Active NPI

Cullman County Treatment Center

  • Methadone Clinic
  • Cullman, AL
National Provider Identifier
1497258784
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
1195 Issued in AL
Legal business name
CULLMAN COUNTY TREATMENT CENTER
Practice address
1912 Commerce Ave
Cullman, AL 35055-6150
Phone
(256) 739-5595
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Leslie Holland, BS
Title
Executive Director/Owner
Phone
(256) 739-5595

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P0018X 112206 AL
Community/Behavioral Health Agency 251S00000X 1195 AL
Methadone Clinic 261QM2800X 1195 AL Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1195 AL

Addresses

Primary practice location

1912 Commerce Ave
Cullman, AL 35055-6150

Mailing address

PO Box 2085
Cullman, AL 35056-2085
Phone (256) 739-5595

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1497258784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2085",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350562085",
            "telephone_number": "256-739-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 COMMERCE AVE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350556150",
            "telephone_number": "256-739-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN COUNTY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "256-739-5595",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AL",
            "license": "112206",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "1195",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "AL",
            "license": "1195",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "AL",
            "license": "1195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.