Healthcare Provider Details

I. General information

NPI: 1568596385
Provider Name (Legal Business Name): TUSCALOOSA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2314 9TH ST
TUSCALOOSA AL
35401-2319
US

IV. Provider business mailing address

PO BOX 2568
TUSCALOOSA AL
35403-2568
US

V. Phone/Fax

Practice location:
  • Phone: 205-758-0411
  • Fax:
Mailing address:
  • Phone: 205-758-0411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANK P COSTANZO
Title or Position: SUPERINTENDENT
Credential:
Phone: 205-758-0411