Provider Demographics
NPI:1508805581
Name:THE HEALTHCARE AUTHORITY FOR UAB HIGHLANDS, AN AFFILIATE OF UAB HEALTH
Entity Type:Organization
Organization Name:THE HEALTHCARE AUTHORITY FOR UAB HIGHLANDS, AN AFFILIATE OF UAB HEALTH
Other - Org Name:UAB HIGHLANDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:WALDRUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-934-7087
Mailing Address - Street 1:1201 11TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-3423
Mailing Address - Country:US
Mailing Address - Phone:205-930-7100
Mailing Address - Fax:205-930-7141
Practice Address - Street 1:1201 11TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-3423
Practice Address - Country:US
Practice Address - Phone:205-930-7100
Practice Address - Fax:205-930-7141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12865282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01-0167Medicare Oscar/Certification