SHOALS TREATMENT CENTER (TREATMENT CENTERS INC) NPI 1356637573

Clinic/Center (Rehabilitation, Substance Use Disorder) in Sheffield, AL

NPI 1356637573 Organization Clinic/Center Rehabilitation, Substance Use Disorder CLIA Number 01D2139612 CLIA Certificate of Waiver

About SHOALS TREATMENT CENTER (TREATMENT CENTERS INC)

Shoals Treatment Center (treatment Centers Inc) is a provider established in Sheffield, Alabama specializing in clinic/center (rehabilitation, substance use disorder) . The NPI number of Shoals Treatment Center (treatment Centers Inc) is 1356637573 and was assigned on June 2011. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Shoals Treatment Center. The authorized official of this NPI record is Ms. Jemece Gasaway (Director Of Licensing)

The CLIA number of Shoals Treatment Center is 01D2139612 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Shoals Treatment Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1356637573

Provider NameSHOALS TREATMENT CENTER (TREATMENT CENTERS INC)
Provider Location Address3430 N JACKSON HWY SHEFFIELD, AL 35660
Provider Mailing Address3430 N JACKSON HWY SHEFFIELD, AL 35660
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSHOALS TREATMENT CENTER
Other Name TypeDoing Business As (3)
Enumeration Date06-27-2011
Last Update Date05-29-2020


Primary Taxonomy

Taxonomy Code261QR0405X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRehabilitation, Substance Use Disorder

Business Address

SHOALS TREATMENT CENTER
3430 N JACKSON HWY
SHEFFIELD, AL
ZIP 35660
Phone: (256) 383-6646
Fax: (256) 383-6654

Get Directions


Mailing Address

SHOALS TREATMENT CENTER
3430 N JACKSON HWY
SHEFFIELD, AL
ZIP 35660
Phone: (256) 383-6646
Fax: (256) 383-6654



Authorized Official

Authorized Official NameMS. JEMECE GASAWAY
Authorized Official TitleDIRECTOR OF LICENSING
Authorized Official Phone(214) 365-6126

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1356637573 is:

CLIA Number01D2139612
Facility TypeOTHER
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)No

Taxonomy Description: Not Available

2261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadoneAL-10013-MALNo

Taxonomy Description: an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518469444 STEPHANIE BREWER
Individual
Counselor3430 N JACKSON HWY
SHEFFIELD, AL 35660
(256) 383-6646
1982113312THE TREATMENT CENTERS, INC.
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)3430 N JACKSON HWY
SHEFFIELD, AL 35660
(256) 383-6646

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.