Provider Demographics
NPI:1467894592
Name:UAB SCHOOL OF MEDICINE
Entity Type:Organization
Organization Name:UAB SCHOOL OF MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCIAL AFFA
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-581-2726
Mailing Address - Street 1:503 SOUTHWEST PKWY
Mailing Address - Street 2:606
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-4762
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UAB SCHOOL OF MEDICINE
Practice Address - Street 2:1702 2ND AVE. S. FOT 1203
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-3412
Practice Address - Country:US
Practice Address - Phone:205-975-8884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital