Provider Demographics
NPI:1790177418
Name:CARE NETWORK OF ALABAMA, INC.
Entity Type:Organization
Organization Name:CARE NETWORK OF ALABAMA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-528-1300
Mailing Address - Street 1:1365 GATEWOOD DR
Mailing Address - Street 2:SUITE 521
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-2834
Mailing Address - Country:US
Mailing Address - Phone:334-528-5867
Mailing Address - Fax:
Practice Address - Street 1:1365 GATEWOOD DR
Practice Address - Street 2:SUITE 521
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-2834
Practice Address - Country:US
Practice Address - Phone:334-528-5867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization