MEDICARE: MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	3739957	AL
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538179940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	5000 MEDICAL WEST WAY
Second Line	:
City	:	BESSEMER
State	:	AL
Zip	:	35022-7082
Country	:	US
Telephone Number	:	205-426-3784
Fax Number	:	205-426-3763

Provider Business Practice Location Address
First Line	:	5000 MEDICAL WEST WAY
Second Line	:
City	:	BESSEMER
State	:	AL
Zip	:	35022-7082
Country	:	US
Telephone Number	:	205-426-3784
Fax Number	:	205-426-3763

Authorized Official
Title or Position	:	MEDICAL STAFF
Name	:	MEREDITH ELLEN LUTZ
Credential	:
Telephone Number	:	205-481-7865

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	12/09/2025

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