Organization
BIRMINGHAM HOME INFUSION, LLC
Active
Other names
Birmingham Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
REES E OLIVER M.D. (OWNER)
(205) 862-8879
Entity
Organization
Contact information
Practice address
300 AIRPORT COMMONS DRIVE, SUITE 304, CALERA, AL 35040
(205) 605-7633
(205) 605-7634
Mailing address
300 AIRPORT COMMONS DRIVE, SUITE 304, CALERA, AL 35040
(205) 605-7633
(205) 605-7634
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
114498
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
114498
AL
3336C0003X
Community/Retail Pharmacy
114498
AL
3336H0001X
Home Infusion Therapy Pharmacy
Primary
114498
AL
3336S0011X
Specialty Pharmacy
114498
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177933
—
AL
05
—
181123
—
AL
01
—
511-71266
BCBS AL
AL
Enumeration date
07/01/2015
Last updated
10/21/2019
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