Organization
CARESTED OF ALABAMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY L JOHNSON SR. (PRESIDENT)
(205) 942-9792
Entity
Organization
Contact information
Practice address
25 W OXMOOR RD, SUTIE 26, BIRMINGHAM, AL 35209-6446
(205) 942-9792
Mailing address
25 W OXMOOR RD, SUTIE 26, BIRMINGHAM, AL 35209-6446
(205) 942-9792
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
6009754
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51057141
BLUECROSS OF ALABAMA
AL
Enumeration date
07/13/2006
Last updated
08/22/2020
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