| Bbh Wbmc, Llc | |
|
3400 Highway 78 E Jasper AL 35501-8956 | |
| (205) 387-4000 | |
| (205) 387-4011 |
| Full Name | Bbh Wbmc, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3400 Highway 78 E, Jasper, Alabama |
| Authorized Official Name and Position | Christy Wilson (CFO) |
| Authorized Official Contact | 2053874167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bbh Wbmc, Llc 1445 Ross Ave Suite 1400 Dallas TX 75202-2711 Ph: (205) 715-5427 | Bbh Wbmc, Llc 3400 Highway 78 E Jasper AL 35501-8956 Ph: (205) 387-4000 |
| NPI Number | 1194179440 |
|---|---|
| Provider Enumeration Date | 04/22/2016 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Medicare PECOS PAC ID | 0042500803 |
|---|---|
| Medicare Enrollment ID | O20160607001128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194179440 | NPI | - | NPPES |
| 201048 | Medicaid | AL | |
| 008 | Other | BLUE CROSS | |
| 114499 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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