Organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Active
Parent organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Other names
UAB Emergency Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Authorized official
PATRICIA RACZYNSKI (ASSOCIATE VICE PRESIDENT)
(205) 934-5121
Entity
Organization
Contact information
Practice address
1806 SIXTH AVENUE SOUTH, BIRMINGHAM, AL 35249-0001
(205) 975-7389
(205) 975-4662
Mailing address
PO BOX 11407 DRAWER 624, BIRMINGHAM, AL 35246-0001
(205) 437-6098
(205) 437-5998
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168372500
BLACK LUNG - DPT OF LABOR
AL
01
—
374493800
DEPT OF LABOR (OWCP)
AL
05
—
529102510
—
AL
01
—
CC0720
RRMC PROVIDER NUMBER
AL
01
—
F786
BCBS PROVIDER NUMBER
AL
Enumeration date
11/11/2005
Last updated
05/21/2008
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