Healthcare Provider Details

I. General information

NPI: 1689638231
Provider Name (Legal Business Name): RUSH INITIATIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 1ST ST N
SUMITON AL
35148-4312
US

IV. Provider business mailing address

505 20TH ST N SUITE 1015
BIRMINGHAM AL
35203-2605
US

V. Phone/Fax

Practice location:
  • Phone: 205-648-0658
  • Fax: 205-648-8724
Mailing address:
  • Phone: 205-521-6313
  • Fax: 205-328-3683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: SUSAN SWARTZ
Title or Position: PRESIDENT
Credential:
Phone: 205-521-6313