Organization Active NPI

Jefferson County Commission

Doing business as Cooper Green Mercy Hospital

  • Psychiatric Hospital Unit
  • Birmingham, AL
National Provider Identifier
1902036932
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
APPLIED FOR Issued in AL
Legal business name
JEFFERSON COUNTY COMMISSION
Doing business as
Cooper Green Mercy Hospital
Practice address
1515 6TH Ave S
Birmingham, AL 35233-1601
Phone
(205) 930-3600
Fax
(205) 930-3497
NPI assigned
Jul 24, 2009
Organization subpart
Yes
Parent organization
JEFFERSON COUNTY COMMISSIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Dr. Sandral Hullett, M.D.
Title
Ceo/Medical Director
Phone
(205) 930-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X APPLIED FOR AL Primary

Addresses

Primary practice location

1515 6TH Ave S
Birmingham, AL 35233-1601

Mailing address

1515 6TH Ave S
Birmingham, AL 35233-1601
Phone (205) 930-3600

Other names 1

  • Cooper Green Mercy Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
Jefferson Co Nursing Home

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1902036932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331601",
            "telephone_number": "205-930-3600",
            "fax_number": "205-930-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331601",
            "telephone_number": "205-930-3600",
            "fax_number": "205-930-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY COMMISSION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFERSON COUNTY COMMISSION",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "HULLETT",
        "authorized_official_first_name": "SANDRAL",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "205-930-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AL",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooper Green Mercy Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.