| Dch Outpatient Services | |
|
1050 Ruby Tyler Pkwy Tuscaloosa AL 35404-2958 | |
| (205) 759-7190 | |
| (205) 750-5648 |
| Full Name | Dch Outpatient Services |
|---|---|
| Speciality | Clinic/center |
| Location | 1050 Ruby Tyler Pkwy, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Keri H Hindman (PATIENT ACCOUNTS DIRECTOR) |
| Authorized Official Contact | 2057597378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dch Outpatient Services 809 University Blvd E Tuscaloosa AL 35401-2029 Ph: (205) 759-7378 | Dch Outpatient Services 1050 Ruby Tyler Pkwy Tuscaloosa AL 35404-2958 Ph: (205) 759-7190 |
| NPI Number | 1780927681 |
|---|---|
| Provider Enumeration Date | 03/29/2013 |
| Last Update Date | 12/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780927681 | NPI | - | NPPES |
| HOS0092H | Medicaid | AL | |
| 010041 | Other | AL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Alabama) | Primary |
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