Organization
THE CHILDREN'S HOSPITAL OF ALABAMA
Active
Parent organization
THE CHILDREN'S HOSPITAL OF ALABAMA
Other names
Pediatric ENT Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHILDREN'S HOSPITAL OF ALABAMA
Authorized official
DAWN WALTON (CFO)
(205) 638-9901
Entity
Organization
Contact information
Practice address
1940 ELMER J. BISSELL, BIRMINGHAM, AL 35243
(205) 824-4949
(205) 824-4983
Mailing address
1940 ELMER J BISSELL RD, BIRMINGHAM, AL 35243-2941
(205) 824-4949
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510F950
BLUECROSS BLUE SHEILD
AL
01
—
515F950
BLUE CROSS BLUE SHEILD AL
AL
05
—
529903800
—
AL
05
—
529903810
—
AL
Enumeration date
10/02/2006
Last updated
09/08/2020
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