Provider Demographics
NPI:1649403536
Name:UAB COMMUNITY EDUCATION, WOMEN'S AND INFANT'S SERVICES
Entity Type:Organization
Organization Name:UAB COMMUNITY EDUCATION, WOMEN'S AND INFANT'S SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFFICIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:BRISCOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-975-5413
Mailing Address - Street 1:619 19TH ST S
Mailing Address - Street 2:JT N478
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-6922
Mailing Address - Country:US
Mailing Address - Phone:205-975-2337
Mailing Address - Fax:205-975-6803
Practice Address - Street 1:619 19TH ST S
Practice Address - Street 2:JT N478
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-6922
Practice Address - Country:US
Practice Address - Phone:205-975-2337
Practice Address - Fax:205-975-6803
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF ALABAMA HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-26
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care