Healthcare Provider Details

I. General information

NPI: 1275180804
Provider Name (Legal Business Name): ALTERNATIVE BIRTH CHOICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2019
Last Update Date: 08/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

544 COUNTY ROAD 1157
CULLMAN AL
35057-0819
US

IV. Provider business mailing address

544 COUNTY ROAD 1157
CULLMAN AL
35057-0819
US

V. Phone/Fax

Practice location:
  • Phone: 256-339-1893
  • Fax: 772-209-7667
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierMW0002
Identifier TypeOTHER
Identifier StateAL
Identifier IssuerSTATE LICENSE

VIII. Authorized Official

Name: SANDRA BLANKENSHIP
Title or Position: BILLING MANAGER
Credential:
Phone: 772-324-0833