Greater Al Health Network
Exclusive Provider Organization in Tuscaloosa, AL. Organization (NPI-2).
NPI number1114356136
StatusActive
Last updated in NPPESNov 12, 2013
Details
- NPI
- 1114356136
- Entity type
- Organization (NPI-2)
- Legal business name
- Greater Al Health Network
- Organization subpart
- No
- Enumeration date
- Nov 12, 2013
- Last updated
- Nov 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | – | – | Yes |
Practice location
921 Professional PlzTuscaloosa, AL 35401-7418
Phone 205-345-1905
Mailing address
921 Professional PlzTuscaloosa, AL 35401-7418
Phone 205-345-1905
Authorized official
Becky Henderson
Program Director
2053455205
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