# UNIVERSITY OF ALABAMA AT BIRMINGHAM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF ALABAMA AT BIRMINGHAM
- **Other names:** Critical Care Transport
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073679692
- **Legal business name:** UNIVERSITY OF ALABAMA AT BIRMINGHAM
- **Authorized official:** MRS. MARY BETH BRISCOE (CFO)
- **Authorized official phone:** (205) 934-2620

## Contact information

- **Practice address:** 619 19TH ST S, ABC 1516, BIRMINGHAM, AL 35249-1900
- **Practice address phone:** (205) 934-3645
- **Practice address fax:** (205) 934-4504
- **Mailing address:** 619 19TH ST S, ABC 1516, BIRMINGHAM, AL 35249-1900
- **Mailing address phone:** (205) 934-3645
- **Mailing address fax:** (205) 934-4504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416A0800X | Air Ambulance | 002497 | AL | Yes |
| 3416L0300X | Land Ambulance | 002497 | AL | — |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 09/10/2013