Organization
THE CHILDREN'S HOSPITAL OF ALABAMA
Active
Parent organization
THE CHILDREN'S HOSPITAL OF ALABAMA
Other names
Children's Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHILDREN'S HOSPITAL OF ALABAMA
Authorized official
DAWN WALTON (CFO)
(205) 638-9901
Entity
Organization
Contact information
Practice address
1600 7TH AVE S, IRELAND CENTER-4TH FLOOR DEARTH, BIRMINGHAM, AL 35233-1711
(205) 638-9193
(205) 638-9949
Mailing address
PO BOX 114070536, BIRMINGHAM, AL 35246-0536
(205) 638-5600
(205) 638-5623
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010840
OP PSYCH BLUE CROSS
AL
05
—
529100500
—
AL
Enumeration date
09/21/2006
Last updated
09/18/2020
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