Provider Demographics
NPI:1417511015
Name:NORTH ALABAMA COMMUNITY CARE
Entity Type:Organization
Organization Name:NORTH ALABAMA COMMUNITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:STOUT
Authorized Official - Last Name:GARRARD
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:256-382-2366
Mailing Address - Street 1:3304 WESTMILL DR SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-6119
Mailing Address - Country:US
Mailing Address - Phone:256-382-2366
Mailing Address - Fax:256-382-2715
Practice Address - Street 1:3304 WESTMILL DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-6119
Practice Address - Country:US
Practice Address - Phone:256-382-2366
Practice Address - Fax:256-382-2715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management