Healthcare Provider Details

I. General information

NPI: 1558396648
Provider Name (Legal Business Name): RITCH'S VITAL CARE OF BIRMINGHAM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2714 CAHABA RD
BIRMINGHAM AL
35223-2304
US

IV. Provider business mailing address

2714 CAHABA RD
BIRMINGHAM AL
35223-2304
US

V. Phone/Fax

Practice location:
  • Phone: 205-871-1141
  • Fax: 205-871-7439
Mailing address:
  • Phone: 205-871-1141
  • Fax: 205-871-7439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number111224
License Number StateAL

VIII. Authorized Official

Name: KEITH CONNER
Title or Position: PRESIDENT
Credential:
Phone: 205-871-1141