INDIAN RIVERS CMHC – NPI #1790875516
Clinic/Center

INDIAN RIVERS CMHC is an AHC clinic located in CARROLLTON, AL. NPPES has assigned the NPI number 1790875516 to INDIAN RIVERS CMHC on October 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “INDIAN RIVERS CMHC” is a dba name, the actual legal business name for this organization is MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INDIAN RIVERS CMHC below.

NPI Profile for
MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES

NPI Number
1790875516
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES
Doing Business As (dba): INDIAN RIVERS CMHC
Primary location
140 COURT SQUARE
CARROLLTON, AL 35447
Phone: (205) 367-8159 Fax: (205) 391-3137
Mailing address
PO BOX 2190
TUSCALOOSA, AL 35403
Phone: (205) 391-3131 Fax: (205) 391-3137
Organization Subpart
No
Authorized Official
BLAKE THRASHER
CFO
Phone: (205) 391-3131
Updated
Identifiers

Identifiers for INDIAN RIVERS CMHC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF ALAL051008111
MEDICAIDAL528700510
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.