NPIMap

Organization Active NPI

Marion County Treatment Center

  • Methadone Clinic
  • Hamilton, AL
National Provider Identifier
1750458550
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
00005812 Issued in AL
Legal business name
MARION COUNTY TREATMENT CENTER
Practice address
1879 Military St South
Hamilton, AL 35570
Phone
(205) 921-3799
Fax
(205) 921-3480
NPI assigned
Nov 29, 2006
Last updated
Dec 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Patricia Ann Waldrop, CRNPNPI 1811381411
Title
Ceo
Phone
(205) 221-1799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 00005812 AL Primary

Addresses

Primary practice location

1879 Military St South
Hamilton, AL 35570

Mailing address

1879 Military St South
Hamilton, AL 35570
Phone (205) 921-3799

Other identifiers 1

IdentifierTypeStateIssuer
515-24062OtherALBC/BS

National Provider Directory

National Provider Directory

Locations

1879 Military St S
Hamilton, AL 35570
Phone (205) 921-0790

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1750458550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 MILITARY ST SOUTH",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "35570",
            "telephone_number": "205-921-3799",
            "fax_number": "205-921-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 MILITARY ST SOUTH",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "35570",
            "telephone_number": "205-921-3799",
            "fax_number": "205-921-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-221-1799",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "AL",
            "license": "00005812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "515-24062",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.