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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