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NPI Code Detail

MEDICARE: MANAGED HEALTH CARE ADMINISTRATION, INC

MEDICARE: MANAGED HEALTH CARE ADMINISTRATION, 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
1283Q00000XPsychiatric Hospital

General Provider Information

NPI Number : 1689000788
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANAGED HEALTH CARE ADMINISTRATION, INC
Provider Business Mailing Address
First Line : 2868 ACTON RD
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-2502
Country : US
Telephone Number : 877-840-1971
Fax Number :
Provider Business Practice Location Address
First Line : 5800 SOUTHLAND DR
Second Line :
City : MOBILE
State : AL
Zip : 36693-3313
Country : US
Telephone Number : 251-660-1439
Fax Number :
Authorized Official
Title or Position : COO
Name : RUSSELL ADAMS
Credential :
Telephone Number : 205-968-8438
Provider Enumeration Date : 09/20/2013
Last Update Date : 09/20/2013

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Directions to “MANAGED HEALTH CARE ADMINISTRATION, INC ” Practice Location

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