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UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION PC NPI 1790879153


NPI Information

NPI: 1790879153
Provider Name: UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC

Other Name: MENTAL HEALTH CENTER-SA

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
619 19TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 934-6600
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UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC is an addiction (substance use disorder) counselor in Birmingham, AL. UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC NPI is 1790879153. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mental Health Center-sa.

The provider's business location address is:

619 19TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 934-6600

The provider's authorized official is Reid F Jones .
The authorized official title is Exec Vp and has the following contact phone number (205) 731-9600.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 6/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1330034005MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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