The Children'S Hospital Of Alabama
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Birmingham, AL. Organization (NPI-2).
NPI number1720166085
StatusActive
Last updated in NPPESSep 18, 2020
Details
- NPI
- 1720166085
- Entity type
- Organization (NPI-2)
- Legal business name
- The Children'S Hospital Of Alabama
- Organization subpart
- No
- Enumeration date
- Nov 2, 2006
- Certification date
- Sep 18, 2020
- Last updated
- Sep 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 12051 | AL | Yes |
Other names
- Children'S Hospital Dialysis (Other Name)
Practice location
1600 7th Ave SBirmingham, AL 35233-1711
Phone 205-638-9100 · Fax 205-638-9189
Mailing address
Po Box 114070536Birmingham, AL 35246-0536
Phone 205-638-5600 · Fax 205-385-6236
Authorized official
Dawn Walton
Cfo
2056389901
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