JEMISON FAMILY CHIROPRACTIC, INC. NPI 1033489612

Community Based Residential Treatment Facility, Mental Illness in Jemison, AL

NPI 1033489612 Organization Community Based Residential Treatment Fa...

About JEMISON FAMILY CHIROPRACTIC, INC.

Jemison Family Chiropractic, Inc. is a provider established in Jemison, Alabama specializing in community based residential treatment facility, mental illness. The NPI number of Jemison Family Chiropractic, Inc. is 1033489612 and was assigned on January 2012. The practitioner's primary taxonomy code is 320800000X with license number 2043 (AL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. David Matthew Mims D.c. (President)

NPI

1033489612

Provider NameJEMISON FAMILY CHIROPRACTIC, INC.
Provider Location Address24982 US HIGHWAY 31 JEMISON, AL 35085
Provider Mailing Address24982 US HIGHWAY 31 JEMISON, AL 35085
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-12-2012
Last Update Date01-12-2012


Primary Taxonomy

Taxonomy Code320800000X
ClassificationCommunity Based Residential Treatment Facility, Mental Illness
TypeResidential Treatment Facilities
License No.2043
License StateAL
Taxonomy DescriptionA home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Business Address

JEMISON FAMILY CHIROPRACTIC, INC.
24982 US HIGHWAY 31
JEMISON, AL
ZIP 35085
Phone: (205) 688-3303
Fax: (205) 688-3303

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Mailing Address

JEMISON FAMILY CHIROPRACTIC, INC.
24982 US HIGHWAY 31
JEMISON, AL
ZIP 35085
Phone: (205) 688-3303
Fax: (205) 688-3303



Authorized Official

Authorized Official NameDR. DAVID MATTHEW MIMS D.C.
Authorized Official TitlePRESIDENT
Authorized Official Phone(205) 688-3303

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174610729DR. DAVID MATTHEW MIMS D.C.
Individual
Chiropractor24982 US HIGHWAY 31
JEMISON, AL 35085
(205) 688-3303

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.