MEDICARE: UNITED CEREBRAL PALSY OF NORTHWEST ALABAMA, 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
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1902933567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED CEREBRAL PALSY OF NORTHWEST ALABAMA, INC.

Provider Business Mailing Address
First Line	:	4212 N JACKSON HWY
Second Line	:
City	:	SHEFFIELD
State	:	AL
Zip	:	35660-1820
Country	:	US
Telephone Number	:	256-381-4310
Fax Number	:	256-381-4378

Provider Business Practice Location Address
First Line	:	4212 N JACKSON HWY
Second Line	:
City	:	SHEFFIELD
State	:	AL
Zip	:	35660-1820
Country	:	US
Telephone Number	:	256-381-4310
Fax Number	:	256-381-4378

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. ALISON U. ISBELL
Credential	:
Telephone Number	:	256-381-4310

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	08/22/2020

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