NPI 1740342526

Resources for Independence

Organisation Exclusive Provider Organization Tuscaloosa, AL

Practice location

Address: 3079 Palisades CT, Tuscaloosa, AL 35405-3456
Phone: (205) 562-2022
Fax: (205) 562-2035

Authorised official

Name: Hayward Bishop
Title: Executive Director
Phone: (205) 562-2022

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Alabama →

Registry record

NPI: 1740342526
Entity type: Organization
NPI issued: 15 Dec 2006
Record last updated: 22 Aug 2020

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.