Healthcare Provider Details

I. General information

NPI: 1083772560
Provider Name (Legal Business Name): MED HELP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE LAKESHORE DRIVE STE 100
BIRMINGHAM AL
35209-7271
US

IV. Provider business mailing address

ONE LAKESHORE DRIVE STE 100
BIRMINGHAM AL
35209-7271
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-2950
  • Fax: 205-930-2957
Mailing address:
  • Phone: 205-930-2950
  • Fax: 205-930-2957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DELANE HILL
Title or Position: AM/CREDENTIALING
Credential:
Phone: 205-547-3996