NPIMap

Organization Active NPI

Northwest Alabama Treatment Center

  • Children's Substance Abuse Rehabilitation Facility
  • Bessemer, AL
National Provider Identifier
1982074639
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
AL30077 Issued in AL
Legal business name
NORTHWEST ALABAMA TREATMENT CENTER
Practice address
4204 Edmonton Dr
Bessemer, AL 35022-4878
Phone
(205) 425-1200
Fax
(205) 425-9606
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. Jonathan Ross Moore Sr., M.D.
Title
Medical Director
Phone
(205) 425-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X AL30077 AL Primary

Addresses

Primary practice location

4204 Edmonton Dr
Bessemer, AL 35022-4878

Mailing address

4204 Edmonton Dr
Bessemer, AL 35022-4878
Phone (205) 425-1200

National Provider Directory

National Provider Directory
Tax ID family
Northwest Alabama Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1982074639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 EDMONTON DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224878",
            "telephone_number": "205-425-1200",
            "fax_number": "205-425-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 EDMONTON DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224878",
            "telephone_number": "205-425-1200",
            "fax_number": "205-425-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ALABAMA TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "205-425-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "AL",
            "license": "AL30077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.