Provider Demographics
NPI:1558498063
Name:HEALTH GROUP OF ALABAMA
Entity Type:Organization
Organization Name:HEALTH GROUP OF ALABAMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:256-532-2748
Mailing Address - Street 1:699 GALLATIN ST SW
Mailing Address - Street 2:SUITE B 2
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4935
Mailing Address - Country:US
Mailing Address - Phone:256-532-2742
Mailing Address - Fax:256-532-2737
Practice Address - Street 1:699 GALLATIN ST SW
Practice Address - Street 2:SUITE B 2
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4935
Practice Address - Country:US
Practice Address - Phone:256-532-2742
Practice Address - Fax:256-532-2737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty