Organization Active NPI

Community Presbyterian Center

  • Voluntary or Charitable Agency
  • Birmingham, AL
National Provider Identifier
1578796496
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
COMMUNITY PRESBYTERIAN CENTER
Practice address
421 Reverend Abraham Woods Jr Blvd
Bruno-Smithfield Communty Health Center
Birmingham, AL 35204-3715
Phone
(205) 368-3733
NPI assigned
Aug 26, 2009
Last updated
Aug 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Dr. Thomas R Ellison, PHD
Title
Medical Services Director/Pi
Phone
(205) 368-3733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

421 Reverend Abraham Woods Jr Blvd
Bruno-Smithfield Communty Health Center
Birmingham, AL 35204-3715

Mailing address

Box 11434
Bruno-Smithfield Community Health Center
Birmingham, AL 35204-1434
Phone (205) 368-3733

Other names 1

  • PROJECT H.E.L.P. USA/MRC Other name

National Provider Directory

National Provider Directory

Locations

421 Reverend Abraham Woods Jr Blvd
Birmingham, AL 35204
Phone (205) 368-3733

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1578796496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 11434",
            "address_2": "BRUNO-SMITHFIELD COMMUNITY HEALTH CENTER",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352041434",
            "telephone_number": "205-368-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 REVEREND ABRAHAM WOODS JR BLVD",
            "address_2": "BRUNO-SMITHFIELD COMMUNTY HEALTH CENTER",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352043715",
            "telephone_number": "205-368-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PRESBYTERIAN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL SERVICES DIRECTOR/PI",
        "authorized_official_telephone_number": "205-368-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROJECT H.E.L.P. USA/MRC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.