Organization
EASTER SEALS ALABAMA, INC. EASTER SEALS WEST ALABAMA
Active
Other names
Easter Seals West Alabama
Organization subpart
No
Provider details
NPI number
Authorized official
RONNY B. JOHNSTON (ADMINISTRATOR)
(205) 759-1211
Entity
Organization
Contact information
Practice address
1110 DR. EDWARD HILLARD DRIVE, TUSCALOOSA, AL 35401-3207
(205) 759-1211
(205) 349-1162
Mailing address
PO BOX 2817, TUSCALOOSA, AL 35403-2817
(205) 759-1211
(205) 349-1162
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
12008
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010-175
BLUE CROSS & BLUE SHIELD
AL
01
—
51077985
BLUE CROSS & BLUE SHIELD
AL
01
—
515-31066
BLUE CROSS & BLUE SHIELD
AL
01
—
51515014
BLUE CROSS & BLUE SHIELD
AL
01
—
51531482
BLUE CROSS & BLUE SHIELD
AL
01
—
51533901
BLUE CROSS & BLUE SHIELD
AL
05
—
529101420
—
AL
Enumeration date
09/14/2006
Last updated
07/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us