Provider Demographics
NPI:1598409310
Name:REGIONAL PLANNING COMMISSION OF GREATER BIRMINGHAM
Entity Type:Organization
Organization Name:REGIONAL PLANNING COMMISSION OF GREATER BIRMINGHAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID WAIVER PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-264-8423
Mailing Address - Street 1:2 20TH ST N STE 1200
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-4067
Mailing Address - Country:US
Mailing Address - Phone:205-623-3551
Mailing Address - Fax:
Practice Address - Street 1:2 20TH ST N STE 1200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-4067
Practice Address - Country:US
Practice Address - Phone:205-623-3551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management