Healthcare Provider Details
I. General information
NPI: 1114581147
Provider Name (Legal Business Name): ALAMED SURGICAL CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2019
Last Update Date: 12/31/2019
Certification Date: 12/31/2019
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7070 AARON ARONOV DR STE O
FAIRFIELD AL
35064-1809
US
IV. Provider business mailing address
7070 AARON ARONOV DR STE O
FAIRFIELD AL
35064-1809
US
V. Phone/Fax
- Phone: 205-785-5707
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
QUINBY
Title or Position: OWNER
Credential:
Phone: 205-785-5707