Organization Active NPI

Eutaw Medical Center

  • Critical Access Hospital
  • Tuscaloosa, AL
National Provider Identifier
1720350473
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
EUTAW MEDICAL CENTER
Practice address
2109 41St CT NE
Tuscaloosa, AL 35404-1511
Phone
(205) 535-6195
Fax
(205) 764-0707
NPI assigned
Jan 27, 2012
Last updated
Jan 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Dr. Chalanda Monique Cabbil, PHD
Title
Psychologist/Therapist
Phone
(205) 535-6195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

2109 41St CT NE
Tuscaloosa, AL 35404-1511

Mailing address

2109 41St CT NE
Tuscaloosa, AL 35404-1511
Phone (205) 535-6195

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1720350473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 41ST CT NE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354041511",
            "telephone_number": "205-535-6195",
            "fax_number": "205-764-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 41ST CT NE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354041511",
            "telephone_number": "205-535-6195",
            "fax_number": "205-764-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUTAW MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "CABBIL",
        "authorized_official_first_name": "CHALANDA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/THERAPIST",
        "authorized_official_telephone_number": "205-535-6195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.