NPIMap

Organization Active NPI

Marshall Jackson Mental Retardation Authority, Inc

  • Case Management Agency
  • Guntersville, AL
National Provider Identifier
1942494729
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MARSHALL JACKSON MENTAL RETARDATION AUTHORITY, INC
Practice address
2024 Gunter Ave
Guntersville, AL 35976-2113
Phone
(256) 582-7528
Fax
(256) 582-7311
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Mrs. Diane W East
Title
Administrative Assistant
Phone
(256) 582-7528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2024 Gunter Ave
Guntersville, AL 35976-2113

Mailing address

2024 Gunter Ave
Guntersville, AL 35976-2113
Phone (256) 582-7528

National Provider Directory

National Provider Directory
Tax ID family
Marshall Jackson Mental Retardation Authority Inc5 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.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1942494729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 GUNTER AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762113",
            "telephone_number": "256-582-7528",
            "fax_number": "256-582-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 GUNTER AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762113",
            "telephone_number": "256-582-7528",
            "fax_number": "256-582-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL JACKSON MENTAL RETARDATION AUTHORITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "256-582-7528",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.