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Organization
THE CHILDREN'S HOSPITAL OF ALABAMA
Active
Organization
THE CHILDREN'S HOSPITAL OF ALABAMA
Active
Parent organization
THE CHILDREN'S HOSPITAL OF ALABAMA
Other names
Dental Clinic - CHS
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHILDREN'S HOSPITAL OF ALABAMA
Authorized official
DAWN H WALTON CPA (CFO)
(205) 638-9901
Entity
Organization
Contact information
Practice address
1600 7TH AVE S # CLINIC9, BIRMINGHAM, AL 35233-1711
(205) 638-9161
(205) 638-9796
Mailing address
PO BOX 114070536, BIRMINGHAM, AL 35246-0536
(205) 638-5600
(205) 638-5623
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
H3704
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529918130
—
AL
Enumeration date
02/25/2008
Last updated
03/29/2021
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