NPI 1396137402

Alabama Care Plan

Organisation Exclusive Provider Organization Birmingham, AL

Practice location

Address: 417 20th St N Suite 1100, Birmingham, AL 35203-3203
Phone: (205) 558-7641
Fax: (205) 449-7626

Authorised official

Name: Brad Rollow
Title: Secretary-Treasurer
Phone: (205) 558-7401

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence MEDICAID RCO (AL)

Other Exclusive Provider Organization providers in Alabama →

Registry record

NPI: 1396137402
Entity type: Organization
NPI issued: 26 Feb 2015
Record last updated: 26 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.