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NPI Code Detail

MEDICARE: ADDICTION & MENTAL HEALTH SERVICES, INC

MEDICARE: ADDICTION & MENTAL HEALTH SERVICES, INC
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
1284300000XSpecial Hospital
2324500000XSubstance Abuse Rehabilitation Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010-834OTHERALBLUE CROSS BLUE SHIELD OF AL

General Provider Information

NPI Number : 1568638690
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADDICTION & MENTAL HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 2101 MAGNOLIA AVE S
Second Line : SUITE 518
City : BIRMINGHAM
State : AL
Zip : 35205-2827
Country : US
Telephone Number : 205-251-7753
Fax Number : 205-251-7760
Provider Business Practice Location Address
First Line : 1600 BROWNS FERRY RD
Second Line :
City : MADISON
State : AL
Zip : 35758-9601
Country : US
Telephone Number : 256-461-7272
Fax Number : 256-464-9618
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. BERNARD B STEPHENS
Credential :
Telephone Number : 205-251-7753
Provider Enumeration Date : 05/08/2008
Last Update Date : 05/08/2008

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