Organization
COOPER GREEN MERCY HEALTH SERVICES AUTHORITY AN AFFILIATE OF UAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE PAYNE (CFO)
(205) 930-3200
Entity
Organization
Contact information
Practice address
1509 6TH AVE S, BIRMINGHAM, AL 35233-1601
(205) 930-3200
Mailing address
1509 6TH AVE S, BIRMINGHAM, AL 35233-1601
(205) 930-3200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
01/30/2020
Last updated
12/16/2024
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