NPIMap

Organization Active NPI

Southwest Alabama Behavioral Health Care Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroeville, AL
National Provider Identifier
1881628162
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUTHWEST ALABAMA BEHAVIORAL HEALTH CARE SYSTEMS
Practice address
328 West Claiborne Street
Monroeville, AL 36460
Phone
(251) 575-4203
NPI assigned
Jul 10, 2006
Last updated
Oct 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Candace Harden
Title
Executive Director
Phone
(251) 575-4203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

328 West Claiborne Street
Monroeville, AL 36460

Mailing address

PO Box 964
328 West Claiborne Street
Monroeville, AL 36461-0964
Phone (251) 575-4203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051025000128 AL Part B Supplier - Clinic/Group Practice 5395762835 Receives reassigned benefits from 17 practitioners
Practice locations: Atmore, AL; Monroeville, AL; Grove Hill, AL; Evergreen, AL; Brewton, AL

National Provider Directory

National Provider Directory
Tax ID family
Southwest Alabama Mental Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

309 E Ridgeley St
Atmore, AL 36502
Phone (251) 368-1675

313 N Main St
Atmore, AL 36502
Phone (251) 368-1675

1321 McMillan Ave
Brewton, AL 36426
Phone (251) 867-3242

1321 McMillan Ave
#A
Brewton, AL 36426
Phone (251) 867-3242

Practitioners & affiliated clinicians

Practitioners 113

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 113

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1881628162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 964",
            "address_2": "328 WEST CLAIBORNE STREET",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364610964",
            "telephone_number": "251-575-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 WEST CLAIBORNE STREET",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "36460",
            "telephone_number": "251-575-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ALABAMA BEHAVIORAL HEALTH CARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-575-4203"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.