Healthcare Provider Details

I. General information

NPI: 1023358850
Provider Name (Legal Business Name): UAB CALLAHAN EYE HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2013
Last Update Date: 11/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 UNIVERSITY BLVD
BIRMINGHAM AL
35233-1816
US

IV. Provider business mailing address

PO BOX 660685
BIRMINGHAM AL
35266-0685
US

V. Phone/Fax

Practice location:
  • Phone: 205-325-8100
  • Fax: 205-325-8809
Mailing address:
  • Phone: 205-979-5882
  • Fax: 205-979-1248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JASON O SADLER
Title or Position: CFO
Credential:
Phone: 205-325-8100