Provider Demographics
NPI:1356480065
Name:OCCUPATIONAL HEALTH NETWORK
Entity Type:Organization
Organization Name:OCCUPATIONAL HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:III
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:251-431-5802
Mailing Address - Street 1:PO BOX 11984
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35202-1984
Mailing Address - Country:US
Mailing Address - Phone:251-431-5800
Mailing Address - Fax:251-431-5810
Practice Address - Street 1:305 N WATER ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36602-4011
Practice Address - Country:US
Practice Address - Phone:251-431-5800
Practice Address - Fax:251-431-5810
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IMC-INDUSTRIAL MEDICAL CLINIC OF MOBILE,PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-06
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty