NPIMap

Organization Active NPI

Christ Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Birmingham, AL
National Provider Identifier
1821234246
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHRIST HEALTH CENTER INC
Practice address
5720 1St Ave S
Birmingham, AL 35212-2522
Phone
(205) 380-9455
Fax
(205) 380-9459
NPI assigned
Jan 7, 2009
Last updated
Jul 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Dr. Robert R Record, MDNPI 1134177884
Title
Chief Executive Officer
Phone
(205) 380-9455

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
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

5720 1St Ave S
Birmingham, AL 35212-2522

Mailing address

5720 1St Ave S
Birmingham, AL 35212-2522
Phone (205) 380-9455

Other practice location 1

5804 1st Ave S
Birmingham, AL 35212-2524
Phone (205) 972-0264

Other practice location 2

2152 Old Springville Rd
Center Point, AL 35215-4005
Phone (205) 838-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061103000498 AL Part B Supplier - Clinic/Group Practice 9931106986 Receives reassigned benefits from 41 practitioners
4 other NPIs on this enrollment
Practice locations: Center Point, AL; Birmingham, AL
O20140409000647 AL Part A Provider - Federally Qualified Health Center (FQHC) 9931106986 Practice locations: Birmingham, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821234246. Details of each certification follow.

Federally qualified health center certification: CCN 011012

Legal name
CHRIST HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 9, 2014
Last certification
Apr 9, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 18, 2004 in AL
Enrollment address
5720 1St Ave S
Birmingham, AL 35212-2522

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5804 1st Ave S
Birmingham, AL 35212
Phone (205) 380-9450

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert R Record Individual Corporate OfficerChief Executive Officer Feb 3, 2013
Operational/Managerial ControlChief Executive Officer Feb 3, 2013 100%
Deborah Pickens Individual Corporate OfficerChief Operating Officer Feb 3, 2014 10%
Christ Health Center Inc Organization, Birmingham, AL Corporation Operational/Managerial Control Oct 25, 2013

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Christ Health Center IncCenter Point, AL, CCN 011038 Federally qualified health center Other (100%) Jul 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1821234246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 1ST AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352122522",
            "telephone_number": "205-380-9455",
            "fax_number": "205-380-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 1ST AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352122522",
            "telephone_number": "205-380-9455",
            "fax_number": "205-380-9459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5804 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352122524",
            "country_code": "US",
            "telephone_number": "205-972-0264",
            "fax_number": "205-972-0267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2152 Old Springville Rd",
            "address_purpose": "LOCATION",
            "city": "Center Point",
            "state": "AL",
            "postal_code": "352154005",
            "country_code": "US",
            "telephone_number": "205-838-6000",
            "fax_number": "205-838-6922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRIST HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "RECORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "205-380-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.