Healthcare Provider Details
I. General information
NPI: 1407936859
Provider Name (Legal Business Name): BHC - HOOVER WOMENS HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2467 JOHN HAWKINS PKWY SUITE 501
HOOVER AL
35244-3538
US
IV. Provider business mailing address
200 BEACON PKWY W SUITE 330
BIRMINGHAM AL
35209-3102
US
V. Phone/Fax
- Phone: 205-682-4480
- Fax:
- Phone: 205-715-5901
- Fax: 205-715-5909
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
E.
BOYLE
Title or Position: PRESIDENT
Credential:
Phone: 205-715-5901