Brewer Porch Children'S Center

LBN: Brewer Porch Children'S Center
Brewer Porch Children'S Center is an health care organization with primary practice located at 2501 Woodland Rd , Tuscaloosa AL 35404-5028. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Brewer Porch Children'S Center can be contacted via phone (205) 348-7236, or through Thompson, James William via phone (205) 348-9340.

Contact Information

Primary practice address
2501 Woodland Rd Tuscaloosa AL 35404-5028
Phone: (205) 348-7236
Fax: (205) 348-9368
Website:
Map and Directions
Authorized official contact:
Name: Thompson, James William PH.D.
Phone: (205) 348-9340

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1508823956
LBN Legal business name Brewer Porch Children'S Center
DBA Doing business as
Authorized official Thompson, James William PH.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 28th, 2006
Last updated Aug 18th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508823956 NPPES
Alabama MEDICAID 330000027
Alabama MEDICAID 339091603
Alabama MEDICAID 330099027
Alabama MEDICAID 339091703
Alabama MEDICAID RTF0009H
Alabama Other 8400921
Alabama Other 8400922

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