<Unavail>
LBN: Jefferson-Blount-St. Clair Mh/Mr Authority
<Unavail> is an health care organization with primary practice located at 940 Montclair Rd Suite 200, Birmingham AL 35213-1217. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Jefferson-Blount-St. Clair Mh/Mr Authority can be contacted via phone (205) 595-4555, or through Craig, Richard via phone (205) 595-4555.
Contact Information
Primary practice address
940 Montclair Rd Suite 200
Birmingham AL 35213-1217
Phone: (205) 595-4555
Fax: (205) 592-3539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | Alabama | |
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | Alabama | |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | Alabama | |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | Alabama | |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | Alabama |
Profile Details
| NPI number | 1073610499 |
|---|---|
| LBN Legal business name | Jefferson-Blount-St. Clair Mh/Mr Authority |
| DBA Doing business as | <Unavail> |
| Authorized official | Craig, Richard PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jun 19th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073610499 | NPPES |
| Alabama | MEDICAID | 330000017 | |
| Alabama | MEDICAID | 590000017 | |
| Alabama | Other | 51008104 | |
| Alabama | MEDICAID | 008506000 | |
| Alabama | MEDICAID | 330034017 |
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