NPI 1609104199

Greater Alabama Health Network

Organisation Exclusive Provider Organization Tuscaloosa, AL

Practice location

Address: 921 Professional Plz, Tuscaloosa, AL 35401-7418
Phone: (205) 345-1905
Fax: (205) 345-2909

Authorised official

Name: Becky Henderson
Title: Program Director
Phone: (205) 345-1905

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Alabama →

Registry record

NPI: 1609104199
Entity type: Organization
NPI issued: 23 Nov 2009
Record last updated: 23 Nov 2009

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.