| Indian Rivers Mental Health Center | |
|
2209 9th St Bibb Office Tuscaloosa AL 35401-2300 | |
| (205) 926-4681 | |
| (205) 391-3137 |
| Full Name | Indian Rivers Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2209 9th St, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Blake Thrasher (CFO) |
| Authorized Official Contact | 2053913131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Rivers Mental Health Center Po Box 2190 Tuscaloosa AL 35403 Ph: (205) 391-3131 | Indian Rivers Mental Health Center 2209 9th St Bibb Office Tuscaloosa AL 35401-2300 Ph: (205) 926-4681 |
| NPI Number | 1699846329 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 01/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699846329 | NPI | - | NPPES |
| 51008111 | Other | AL | BCBS OF AL |
| 590000000 | Other | AL | MEDICAID |
| 590000024 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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