# NORTH ALABAMA SLEEP DISORDER CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORTH AL SLEEP DISORDER CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497922009
- **Authorized official:** RALPH WILSON (CCO)
- **Authorized official phone:** (256) 386-4005

## Contact information

- **Practice address:** 1111 S RALEIGH AVE, SUITE 200, SHEFFIELD, AL 35660-6350
- **Practice address phone:** (256) 386-4005
- **Practice address fax:** (256) 386-4685
- **Mailing address:** PO BOX 627, SHEFFIELD, AL 35660-0627
- **Mailing address phone:** (256) 386-4005
- **Mailing address fax:** (256) 386-4685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 11784 | AL | Yes |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 05/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 051550480 | MEDICARE IDTF | AL |