| Indian Rivers Cmhc | |
|
1915 6th St Tuscaloosa AL 35401-1722 | |
| (205) 562-3700 | |
| (205) 562-3769 |
| Full Name | Indian Rivers Cmhc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1915 6th St, Tuscaloosa, Alabama |
| Authorized Official Name and Position | James Moore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2055623700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Rivers Cmhc Po Box 2190 Tuscaloosa AL 35403-2190 Ph: (205) 562-3700 | Indian Rivers Cmhc 1915 6th St Tuscaloosa AL 35401-1722 Ph: (205) 562-3700 |
| NPI Number | 1285809194 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285809194 | NPI | - | NPPES |
| 528700510 | Medicaid | AL | |
| 051008111 | Other | AL | BCBS OF AL |
| 051511693 | Other | AL | BCBS OF AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Alabama) | Primary |
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