| University Of Alabama At Birmingham | |
|
618 20th Street South Birmingham AL 35294 | |
| (205) 934-2071 | |
| Not Available |
| Full Name | University Of Alabama At Birmingham |
|---|---|
| Speciality | Clinical Medical Laboratory |
| Location | 618 20th Street South, Birmingham, Alabama |
| Authorized Official Name and Position | Reid F Jones (EXEC VP OF UAHSF) |
| Authorized Official Contact | 2057319770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Alabama At Birmingham Po Box 55309 Birmingham AL 35255-5309 Ph: () - | University Of Alabama At Birmingham 618 20th Street South Birmingham AL 35294 Ph: (205) 934-2071 |
| NPI Number | 1508051525 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 05/12/2021 |
| Medicare PECOS PAC ID | 3779487970 |
|---|---|
| Medicare Enrollment ID | O20050301000888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508051525 | NPI | - | NPPES |
| 1589942 | Medicaid | LA | |
| 690009180 | Other | AL | RAILROAD MEDICARE |
| 051046633 | Other | AL | BLUE CROSS |
| 532000009 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Primary |
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