Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 MEDICAL WEST WAY
BESSEMER AL
35022-7082
US

IV. Provider business mailing address

5000 MEDICAL WEST WAY
BESSEMER AL
35022-7082
US

V. Phone/Fax

Practice location:
  • Phone: 205-426-3784
  • Fax: 205-426-3763
Mailing address:
  • Phone: 205-426-3784
  • Fax: 205-426-3763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3739957
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MEREDITH ELLEN LUTZ
Title or Position: MEDICAL STAFF
Credential:
Phone: 205-481-7865