| Glenwood, Inc. | |
|
150 Glenwood Ln Birmingham AL 35242-5700 | |
| (205) 969-2880 | |
| (205) 795-3261 |
| Full Name | Glenwood, Inc. |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Location | 150 Glenwood Ln, Birmingham, Alabama |
| Authorized Official Name and Position | Barbara Murbach (VICE PRESIDENT OF ADMINISTRATION) |
| Authorized Official Contact | 2057953206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenwood, Inc. 150 Glenwood Ln Birmingham AL 35242-5700 Ph: (205) 969-2880 | Glenwood, Inc. 150 Glenwood Ln Birmingham AL 35242-5700 Ph: (205) 969-2880 |
| NPI Number | 1285646430 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 03/18/2008 |
| Medicare PECOS PAC ID | 7719247311 |
|---|---|
| Medicare Enrollment ID | O20180130001155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285646430 | NPI | - | NPPES |
| RTF0014H | Medicaid | AL |
| Provider Name | Brooke Lambert Thomas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669662029 PECOS PAC ID: 7416217013 Enrollment ID: I20180130001307 |
| Provider Name | Raegan Anne Corcoran |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467153767 PECOS PAC ID: 4183087877 Enrollment ID: I20230829000617 |
| Provider Name | Gina Carroll Martin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811509227 PECOS PAC ID: 1850755836 Enrollment ID: I20230908002150 |
| Provider Name | Jennifer Nicole Johnsonbarnett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487958930 PECOS PAC ID: 7810351723 Enrollment ID: I20230911004279 |
| Provider Name | Mariah Wilson Patrick |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164208831 PECOS PAC ID: 8325402639 Enrollment ID: I20230919002874 |
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