Provider Demographics
NPI:1730294257
Name:ALABAMA MATERNITY, INC.
Entity Type:Organization
Organization Name:ALABAMA MATERNITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, ALABAMA MATERNITY, INC.
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-558-7587
Mailing Address - Street 1:417 20TH ST N
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-3203
Mailing Address - Country:US
Mailing Address - Phone:205-558-7587
Mailing Address - Fax:
Practice Address - Street 1:417 20TH ST N
Practice Address - Street 2:SUITE 1100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-3203
Practice Address - Country:US
Practice Address - Phone:205-558-7587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL580200005Medicaid