Healthcare Provider Details

I. General information

NPI: 1649403536
Provider Name (Legal Business Name): UAB COMMUNITY EDUCATION, WOMEN'S AND INFANT'S SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2009
Last Update Date: 03/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 19TH ST S JT N478
BIRMINGHAM AL
35249-6922
US

IV. Provider business mailing address

619 19TH ST S JT N478
BIRMINGHAM AL
35249-6922
US

V. Phone/Fax

Practice location:
  • Phone: 205-975-2337
  • Fax: 205-975-6803
Mailing address:
  • Phone: 205-975-2337
  • Fax: 205-975-6803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARY BETH BRISCOE
Title or Position: CHIEF FINANCIAL OFFFICIAL
Credential:
Phone: 205-975-5413