MEDICARE: TUSCALOOSA V.A. MEDICAL CENTER

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	284300000X	Special Hospital	00024907	AL

General Provider Information

NPI Number	:	1750369237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUSCALOOSA V.A. MEDICAL CENTER

Provider Business Mailing Address
First Line	:	3701 LOOP RD
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35404-5015
Country	:	US
Telephone Number	:	205-554-2000
Fax Number	:	205-554-2045

Provider Business Practice Location Address
First Line	:	3701 LOOP RD
Second Line	:	TUSCALOOSA VAMC
City	:	TUSCALOOSA
State	:	AL
Zip	:	35404-5015
Country	:	US
Telephone Number	:	205-554-2000
Fax Number	:	205-554-2045

Authorized Official
Title or Position	:	DIRECTOR,G.E.C
Name	:	DR. JYOTI M PATEL
Credential	:	MD
Telephone Number	:	205-554-2000

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	08/22/2020

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