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General NPI Number Information
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NPI Number | 1427066307
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Entity Type | Organization
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Legal Business Name | STATE OF ALABAMA DEPT OF FINANCE
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 725 EAST COY SMITH HWY
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City | MT VERNON
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State | AL
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Zip | 36560
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Country | US
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Telephone | 251-662-6700
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Fax | 251-829-5385
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Provider Business Mailing Address
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Address Line | PO BOX 1090
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City | MOUNT VERNON
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State | AL
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Zip | 36560-1090
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Country | US
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Telephone | 251-662-6700
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Fax | 251-829-5385
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. SAM J. LEVIO
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Credential |
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Telephone | 251-662-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State | AL
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