Organization
STATE OF ALABAMA DEPT OF FINANCE
Active
Parent organization
STATE OF ALABAMA DEPARTMENT OF FINANCE
Other names
Mary Starke Harper Geriatric Psychiatry Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF ALABAMA DEPARTMENT OF FINANCE
Authorized official
MELISSA D SHAW (ACCOUNTING ASSISTANT II)
(205) 366-3038
Entity
Organization
Contact information
Practice address
115 HARPER COURT, TUSCALOOSA, AL 35401
(205) 366-3010
(205) 366-3012
Mailing address
PO BOX 21231, TUSCALOOSA, AL 35402
(205) 366-3010
(205) 366-3012
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011659
BC CH
—
01
—
012803
BLUE CROSS BLUE SHIELD
AL
01
—
012803
BC
—
05
—
GER0001H
—
AL
Enumeration date
09/12/2006
Last updated
05/09/2024
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