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Contact Information

UNIVERSITY OF ALABAMA AT BIRMINGHAM
3220 5TH AVE S RM 2302
BIRMINGHAM, AL35222-2309
 Phone: 205-975-5656
 Fax: 205-934-0140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF ALABAMA AT BIRMINGHAM

NPI Number 1013014851
LBN Legal business name UNIVERSITY OF ALABAMA AT BIRMINGHAM
Authorized official JENNIFER PETERSON - (DIRECTOR OF AMBULATORY OPERAT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 12/14/2020 - About 5 years ago
Identifiers
AL License # 109853
AL Medicaid 100010009
Other 1991762 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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