Healthcare Provider Details

I. General information

NPI: 1245570316
Provider Name (Legal Business Name): BAPTIST HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2013
Last Update Date: 09/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 TAYLOR RD
MONTGOMERY AL
36117-3512
US

IV. Provider business mailing address

400 TAYLOR RD
MONTGOMERY AL
36117-3512
US

V. Phone/Fax

Practice location:
  • Phone: 334-277-8330
  • Fax:
Mailing address:
  • Phone: 334-277-8330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NW0100X
TaxonomyWomen's Hospital
License Number1-101274
License Number StateAL

VIII. Authorized Official

Name: AARON MILLAGE
Title or Position: NEONATOLOGIST
Credential:
Phone: 334-546-8664