# ALABAMA CARE PLAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396137402
- **Authorized official:** MR. BRAD ROLLOW (SECRETARY-TREASURER)
- **Authorized official phone:** (205) 558-7401

## Contact information

- **Practice address:** 417 20TH ST N, SUITE 1100, BIRMINGHAM, AL 35203-3203
- **Practice address phone:** (205) 558-7641
- **Practice address fax:** (205) 449-7626
- **Mailing address:** 417 20TH ST N, SUITE 1100, BIRMINGHAM, AL 35203-3203
- **Mailing address phone:** (205) 558-7641
- **Mailing address fax:** (205) 449-7626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | MEDICAID RCO | AL | Yes |

## Other

- **Enumeration date:** 02/26/2015
- **Last updated:** 02/26/2015