Provider Demographics
NPI:1225284664
Name:CHILDRENS HEALTH SYSTEM
Entity Type:Organization
Organization Name:CHILDRENS HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CLIFTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:205-939-5786
Mailing Address - Street 1:1990 LAKEMONT DR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-6732
Mailing Address - Country:US
Mailing Address - Phone:205-939-5786
Mailing Address - Fax:
Practice Address - Street 1:1990 LAKEMONT DR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-6732
Practice Address - Country:US
Practice Address - Phone:205-939-5786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1868282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren