Organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Active
Parent organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Other names
Critical Care Transport
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Authorized official
MRS. MARY BETH BRISCOE (CFO)
(205) 934-2620
Entity
Organization
Contact information
Practice address
619 19TH ST S, ABC 1516, BIRMINGHAM, AL 35249-1900
(205) 934-3645
(205) 934-4504
Mailing address
619 19TH ST S, ABC 1516, BIRMINGHAM, AL 35249-1900
(205) 934-3645
(205) 934-4504
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
002497
AL
3416L0300X
Land Ambulance
002497
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00553687
—
MS
05
—
200037112
—
AL
05
—
200037113
—
AL
Enumeration date
12/28/2006
Last updated
09/10/2013
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