NPIMap

Organization Active NPI

Centeral Alabama Veterans Health Care System

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Montgomery, AL
National Provider Identifier
1790889053
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
License
80 Issued in AL
Legal business name
CENTERAL ALABAMA VETERANS HEALTH CARE SYSTEM
Practice address
215 Perry Hill Rd
Montgomery, AL 36109-3725
Phone
(334) 272-4670
Fax
(334) 273-6227
NPI assigned
Sep 8, 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
Miss Tracey Elaine Thornton, RD/LD
Title
Clinical Dietitian
Phone
(334) 272-4670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X 80 AL Primary

Addresses

Primary practice location

215 Perry Hill Rd
Montgomery, AL 36109-3725

Mailing address

850 Wingard St
Prattville, AL 36066-5828
Phone (334) 365-1030

National Provider Directory

National Provider Directory
Tax ID family
Boston Healthcare VA179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790889053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WINGARD ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665828",
            "telephone_number": "334-365-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PERRY HILL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093725",
            "telephone_number": "334-272-4670",
            "fax_number": "334-273-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERAL ALABAMA VETERANS HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CLINICAL DIETITIAN",
        "authorized_official_telephone_number": "334-272-4670",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RD/LD"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "AL",
            "license": "80",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, 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.