Organization
VIVA HEALTH ADMINISTRATION, L.L.C.
Active
Other names
VIVA Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD ROLLOW (CHIEF EXECUTIVE OFFICER (CEO))
(205) 558-7401
Entity
Organization
Contact information
Practice address
417 20TH ST N, SUITE 1100, BIRMINGHAM, AL 35203-3203
(205) 558-7587
(205) 558-7456
Mailing address
3704 SPRING VALLEY RD, BIRMINGHAM, AL 35223-1526
(205) 558-7401
(205) 558-7538
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
AL 1490
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580500003
—
AL
Enumeration date
08/21/2006
Last updated
06/24/2015
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