=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295549640
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/05/2025
-----------------------------------------------------
Last Update Date | 02/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15243 GREENFIELD DR
-----------------------------------------------------
City | ATHENS
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35613-2899
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-771-0994
-----------------------------------------------------
Fax | 256-771-1662
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 7187
-----------------------------------------------------
City | HUNTSVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35807-1187
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-265-0065
-----------------------------------------------------
Fax | 256-265-0075
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIVISION ASSISTANT
-----------------------------------------------------
Name | LINDA STURMFELS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 256-265-0065
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QX0100X
-----------------------------------------------------
Taxonomy Name | Occupational Medicine Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------