MC Mitchell Memorial Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MC MITCHELL MEMORIAL CENTER

Practice address

1302 Saint Stephens Rd
Prichard, AL 36610-5306

Phone

(251) 510-3950

NPI assigned

Sep 23, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Demeka Lasherry BuckNPI 1619648565

Title

LFD, Owner

Phone

(251) 510-3950

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Demeka Lasherry Buck

  • Professional Counselor
  • Prichard, AL
  • NPI 1619648565
  NPD Authorized official

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1982375598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 BEVERLY P WASHINGTON ST",
            "city": "EIGHT MILE",
            "state": "AL",
            "postal_code": "366133449",
            "telephone_number": "251-510-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 SAINT STEPHENS RD",
            "city": "PRICHARD",
            "state": "AL",
            "postal_code": "366105306",
            "telephone_number": "251-510-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC MITCHELL MEMORIAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "DEMEKA",
        "authorized_official_middle_name": "LASHERRY",
        "authorized_official_title_or_position": "LFD, OWNER",
        "authorized_official_telephone_number": "251-510-3950"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Prichard, AL
• Providers in Prichard, AL by specialty
• Case Management Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.