Provider Demographics
NPI:1891099958
Name:ALABAMA WOMENS CENTER FOR REPRODUCTIVE ALTERNATIVES
Entity Type:Organization
Organization Name:ALABAMA WOMENS CENTER FOR REPRODUCTIVE ALTERNATIVES
Other - Org Name:ALABAMA WOMENS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DALTON
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-536-2231
Mailing Address - Street 1:612 MADISON ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4401
Mailing Address - Country:US
Mailing Address - Phone:256-536-2231
Mailing Address - Fax:256-536-4634
Practice Address - Street 1:612 MADISON ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4401
Practice Address - Country:US
Practice Address - Phone:256-536-2231
Practice Address - Fax:256-536-4634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC4502261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility