Provider Demographics
NPI:1689039307
Name:ALABAMA HEALTHCARE ADVANTAGE INC,
Entity Type:Organization
Organization Name:ALABAMA HEALTHCARE ADVANTAGE INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:W
Authorized Official - Last Name:WHITNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-317-3536
Mailing Address - Street 1:8650 MINNIE BROWN RD STE 224
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7433
Mailing Address - Country:US
Mailing Address - Phone:334-215-3985
Mailing Address - Fax:
Practice Address - Street 1:8650 MINNIE BROWN RD STE 224
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-7433
Practice Address - Country:US
Practice Address - Phone:334-215-3985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-22
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare