NPIMap

Organization Active NPI

Jefferson County Board of Health

Doing business as Western Health Center

  • Public Health or Welfare Agency
  • Midfield, AL
National Provider Identifier
1942235825
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
JEFFERSON COUNTY BOARD OF HEALTH
Doing business as
Western Health Center
Practice address
631 Bessemer Super Hwy
Midfield, AL 35228
Phone
(205) 715-6121
Fax
(205) 241-5260
NPI assigned
Jul 11, 2006
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Shewanda Clark
Title
Revenue Integrity Supervisor
Phone
(205) 558-2158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

631 Bessemer Super Hwy
Midfield, AL 35228

Mailing address

PO Box 2648
Birmingham, AL 35202-2648
Phone (205) 715-6121

Other identifiers 5

IdentifierTypeStateIssuer
303730000MedicaidAL
D074OtherALMEDICARE GROUP NUMBER
227339999MedicaidAL
51060511OtherALBLUE SHIELD
227330000MedicaidAL

Other names 1

  • Western Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428001696 AL Part B Supplier - Clinic/Group Practice 1456348622 Receives reassigned benefits from 14 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Birmingham, AL

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

1700 Avenue E
Ensley, AL 35218
Phone (205) 241-5244

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1942235825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2648",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352022648",
            "telephone_number": "205-715-6121",
            "fax_number": "205-241-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BESSEMER SUPER HWY",
            "city": "MIDFIELD",
            "state": "AL",
            "postal_code": "35228",
            "telephone_number": "205-715-6121",
            "fax_number": "205-241-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SHEWANDA",
        "authorized_official_title_or_position": "REVENUE INTEGRITY SUPERVISOR",
        "authorized_official_telephone_number": "205-558-2158"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303730000",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "D074",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227339999",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "51060511",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227330000",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midfield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.