Healthcare Provider Details
I. General information
NPI: 1831293406
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: 09/12/2006
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5000 MEDICAL WEST WAY 5TH FLOOR - REHABILITATION UNIT
BESSEMER AL
35022-7082
US
IV. Provider business mailing address
5000 MEDICAL WEST WAY
BESSEMER AL
35022-7082
US
V. Phone/Fax
- Phone: 205-481-7280
- Fax:
- Phone: 205-481-7280
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 273Y00000X |
| Taxonomy | Rehabilitation Hospital Unit |
| License Number | 12816 |
| License Number State | AL |
VIII. Authorized Official
Name: MR.
BRANDON
H
SLOCUM
Title or Position: CFO
Credential:
Phone: 205-481-7134