MEDICARE: NORTH ALABAMA COMMUNITY CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1376368092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH ALABAMA COMMUNITY CARE

Provider Business Mailing Address
First Line	:	PO BOX 18926
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35804-8926
Country	:	US
Telephone Number	:	256-382-2590
Fax Number	:	256-382-2715

Provider Business Practice Location Address
First Line	:	3304 WESTMILL DR SW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35805-6119
Country	:	US
Telephone Number	:	256-382-2590
Fax Number	:	256-382-2715

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DANA STOUT
Credential	:
Telephone Number	:	256-503-2632

Provider Enumeration Date	:	11/18/2024
Last Update Date	:	11/18/2024

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Directions to “NORTH ALABAMA COMMUNITY CARE ” Practice Location

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