Organization
GARDENDALE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA G THOMAS (INSURANCE CLERK)
(205) 631-6216
Entity
Organization
Contact information
Practice address
2244 NORTH RD, GARDENDALE, AL 35071-2206
(205) 631-6216
Mailing address
2244 NORTH RD, GARDENDALE, AL 35071-2206
(205) 631-6216
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110249
UNITED HEALTHCARE
AL
01
—
51045205
BCBS
AL
01
—
C72175
UPIN
AL
Enumeration date
04/09/2008
Last updated
04/09/2008
Update your record
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