Greater Alabama Health Network
Exclusive Provider Organization in Tuscaloosa, AL. Organization (NPI-2).
NPI number1609104199
StatusActive
Last updated in NPPESNov 23, 2009
Details
- NPI
- 1609104199
- Entity type
- Organization (NPI-2)
- Legal business name
- Greater Alabama Health Network
- Organization subpart
- No
- Enumeration date
- Nov 23, 2009
- Last updated
- Nov 23, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
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 · Fax 205-345-2909
Mailing address
921 Professional PlzTuscaloosa, AL 35401-7418
Phone 205-345-1905 · Fax 205-345-2909
Authorized official
Becky Henderson
Program Director
2053451905
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