COPELAND CARE CLINIC – NPI #1689651408
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

COPELAND CARE CLINIC is an AHC clinic located in MONTGOMERY, AL. NPPES has assigned the NPI number 1689651408 to COPELAND CARE CLINIC on December 22, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COPELAND CARE CLINIC” is a dba name, the actual legal business name for this organization is MONTGOMERY AIDS OUTREACH, INC.. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 4 years ago on Nov 10, 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 COPELAND CARE CLINIC below.

NPI Profile for
MONTGOMERY AIDS OUTREACH, INC.

NPI Number
1689651408
Enumeration Date

(more than 20 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
MONTGOMERY AIDS OUTREACH, INC.
Doing Business As (dba): COPELAND CARE CLINIC
Primary location
2900 MCGEHEE RD
MONTGOMERY, AL 36111
Phone: (334) 280-3349 Fax: (334) 356-1426
Mailing address
PO BOX 11087
MONTGOMERY, AL 36111-0087
Phone: (334) 280-3349 Fax: (334) 356-1426
Organization Subpart
No
Authorized Official
ANNE JORDAN-REYNOLDS
EXECUTIVE DIRECTOR
Phone: (334) 386-0853
Updated
Certification Date
Nov 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COPELAND CARE CLINIC

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
medicaidAL529401770
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
261QM2500X
- Clinic/Center / Medical Specialty (Primary)
AL L5111 TYPE R

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.