NORTHWEST ALABAMA MENTAL HEALTH CENTER NPI 1932485372

Community/Behavioral Health in Vernon, AL

NPI 1932485372 Organization Community/Behavioral Health CLIA Number 01D2138989 CLIA Certificate of Waiver

About NORTHWEST ALABAMA MENTAL HEALTH CENTER

Northwest Alabama Mental Health Center is a provider established in Vernon, Alabama specializing in community/behavioral health. The NPI number of Northwest Alabama Mental Health Center is 1932485372 and was assigned on October 2011. The practitioner's primary taxonomy code is 251S00000X. 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 Mr. Floyd F Newman Jr. (Executive Direction)

The CLIA number of Northwest Alabama Mental Health Center is 01D2138989 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Northwest Alabama Mental Health 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

1932485372

Provider NameNORTHWEST ALABAMA MENTAL HEALTH CENTER
Provider Location Address141 2ND AVE NW VERNON, AL 35592
Provider Mailing Address1100 7TH AVE JASPER, AL 35501
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-31-2011
Last Update Date10-31-2011


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

NORTHWEST ALABAMA MENTAL HEALTH CENTER
141 2ND AVE NW
VERNON, AL
ZIP 35592
Phone: (205) 695-9183

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Mailing Address

NORTHWEST ALABAMA MENTAL HEALTH CENTER
1100 7TH AVE
JASPER, AL
ZIP 35501
Phone: (205) 302-9000



Authorized Official

Authorized Official NameMR. FLOYD F NEWMAN JR.
Authorized Official TitleEXECUTIVE DIRECTION
Authorized Official Phone(205) 302-9000

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 1932485372 is:

CLIA Number01D2138989
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
014673MEDICARE PIN (08)AL

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1922525435 ANGELA LEA CARROLL GLASGOW CRNP
Individual
Nurse Practitioner (Family)141 2ND AVE NW
VERNON, AL 35592
(205) 302-9000

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.