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Organization

GATEWAY

Active
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Organization

GATEWAY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JIM LOOP (EXECUTIVE DIRECTOR)
(205) 510-2600
Entity
Organization

Contact information

Practice address
1401 20TH ST S, BIRMINGHAM, AL 35205-4913
(205) 510-2600
Mailing address
1401 20TH ST S, BIRMINGHAM, AL 35205-4913

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
03/10/2008
Last updated
03/10/2008
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