Organization Active NPI

Arc of Shelby County

  • Early Intervention Provider Agency
  • Pelham, AL
National Provider Identifier
1679915540
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
2186 Issued in AL
Legal business name
ARC OF SHELBY COUNTY
Practice address
203 Amphitheater Rd
Pelham, AL 35124-4302
Phone
(205) 664-9313
Fax
(205) 664-1934
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Angela Clark
Title
Office Manager
Phone
(205) 664-9313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 2186 AL Primary

Addresses

Primary practice location

203 Amphitheater Rd
Pelham, AL 35124-4302

Mailing address

203 Amphitheater Rd
Pelham, AL 35124-4302
Phone (205) 664-9313

National Provider Directory

National Provider Directory

Locations

203 Amphitheater Rd
Pelham, AL 35124
Phone (205) 664-9313

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1679915540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 AMPHITHEATER RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244302",
            "telephone_number": "205-664-9313",
            "fax_number": "205-664-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 AMPHITHEATER RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244302",
            "telephone_number": "205-664-9313",
            "fax_number": "205-664-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF SHELBY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-664-9313"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AL",
            "license": "2186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.