Organization Active NPI

Central Alabama Veterans Health Care System

  • Substance Abuse Rehabilitation Facility
  • Tuskegee, AL
National Provider Identifier
1780772285
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
5372 Issued in AL
Legal business name
CENTRAL ALABAMA VETERANS HEALTH CARE SYSTEM
Practice address
2400 Hospital Road
Tuskegee, AL 36083
Phone
(334) 727-0550
Fax
(334) 725-2508
NPI assigned
Oct 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Campbell II, PSYD
Title
Acting Chief , Psychology Service
Phone
(334) 727-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 5372 AL Primary

Addresses

Primary practice location

2400 Hospital Road
Tuskegee, AL 36083

Mailing address

7344 Greenfield Rd
Montgomery, AL 36117-7506
Phone (334) 244-4038

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780772285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7344 GREENFIELD RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177506",
            "telephone_number": "334-244-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL ROAD",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "36083",
            "telephone_number": "334-727-0550",
            "fax_number": "334-725-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ALABAMA VETERANS HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ACTING CHIEF , PSYCHOLOGY SERVICE",
        "authorized_official_telephone_number": "334-727-0550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AL",
            "license": "5372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuskegee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.