Healthcare Provider Details

I. General information

NPI: 1548305568
Provider Name (Legal Business Name): EYE FOUNDATION HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 UNIVERSITY BLVD ANESTHESIA DEPT.
BIRMINGHAM AL
35233-1816
US

IV. Provider business mailing address

PO BOX 660685
BIRMINGHAM AL
35266-0685
US

V. Phone/Fax

Practice location:
  • Phone: 205-325-8500
  • 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: ELIZABETH BAILEY
Title or Position: CFO
Credential:
Phone: 205-325-8500