Pickens County Medical Center, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PICKENS COUNTY MEDICAL CENTER, INC

Doing business as

Reform Primary Care

Practice address

514 10TH Ave SW
Reform, AL 35481-2114

Phone

(205) 375-6251

Fax

(205) 375-9064

NPI assigned

Dec 26, 2012

Last updated

Jul 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Regina Beams

Title

Unit Leader Physician Services

Phone

(205) 367-8111

Specialties & licenses 1

Addresses

Other names 1

• Reform Primary Care Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pickens County Medical Center, Inc.

  dba Home Comfort Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Carrollton, AL
  • NPI 1902910276

  Member Of

  NPD member

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1790021533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "CARROLLTON",
            "state": "AL",
            "postal_code": "354470347",
            "telephone_number": "205-367-8111",
            "fax_number": "205-367-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 10TH AVE SW",
            "city": "REFORM",
            "state": "AL",
            "postal_code": "354812114",
            "telephone_number": "205-375-6251",
            "fax_number": "205-375-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS COUNTY MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "BEAMS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "UNIT LEADER PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "205-367-8111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reform Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Latham
• Meredith L Mettee, OT
• Susanne A Nichols, D.M.D.
• Pickens County Health Care Authority (Reform Primary Care Clinic)
• Pickens County Medical Center, Inc (Reform Primary Care Clinic)
• Pickens County Primary Care PC
• Pickens County Primary Care, P.C
• Pickens County Primary Care, PC
• Theresa Darlene Putman, CRNP
• Reform Medical Clinic (Harry L Richardson)

• Rural Health Clinic/Center in Reform, AL
• Providers in Reform, AL by specialty
• Rural Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.