Organization
THE CHILDREN'S HOSPITAL OF ALABAMA
Active
Organization
THE CHILDREN'S HOSPITAL OF ALABAMA
Active
Other names
Children's Hospital Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN WALTON (CFO)
(205) 638-9901
Entity
Organization
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9100
(205) 638-9189
Mailing address
PO BOX 114070536, BIRMINGHAM, AL 35246-0536
(205) 638-5600
(205) 385-6236
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
12051
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DIA3300D
—
AL
Enumeration date
11/02/2006
Last updated
09/18/2020
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