Healthcare Provider Details

I. General information

NPI: 1043585680
Provider Name (Legal Business Name): UAHSF
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2012
Last Update Date: 03/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 MEDICAL EDUCATION BUILDING 1813 6TH AVE S
BIRMINGHAM AL
35294-0001
US

IV. Provider business mailing address

ZRB 739 1530 3RD AVE S
BIRMINGHAM AL
35294-0001
US

V. Phone/Fax

Practice location:
  • Phone: 205-975-1335
  • Fax:
Mailing address:
  • Phone: 205-975-1335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number1-122710
License Number StateAL

VIII. Authorized Official

Name: DR. ROBERT CERFOLIO
Title or Position: M.D/ATTENDING
Credential: M.D.
Phone: 205-934-5937