NPIMap

Organization Active NPI

Morgan County System of Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Decatur, AL
National Provider Identifier
1699177295
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MORGAN COUNTY SYSTEM OF SERVICES, INC.
Practice address
3402 Tanglewood Dr SW
Decatur, AL 35603-1332
Phone
(256) 350-8434
Fax
(256) 350-8534
NPI assigned
Sep 25, 2014
Last updated
Sep 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Dr. Sara Bruce Hall, PHD
Title
Ceo
Phone
(256) 350-8434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X AL Primary

Addresses

Primary practice location

3402 Tanglewood Dr SW
Decatur, AL 35603-1332

Mailing address

PO Box 1124
Decatur, AL 35602-1124
Phone (256) 350-8434

Other identifiers 1

IdentifierTypeStateIssuer
1194075085MedicaidAL

Other names 1

  • SOS Other name

National Provider Directory

National Provider Directory
Tax ID family
Morgan County System of Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1699177295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1124",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356021124",
            "telephone_number": "256-350-8434",
            "fax_number": "256-350-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 TANGLEWOOD DR SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031332",
            "telephone_number": "256-350-8434",
            "fax_number": "256-350-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN COUNTY SYSTEM OF SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-350-8434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194075085",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.