Provider Demographics
NPI:1972235091
Name:BURNHAMS VITAL CARE OF ALABAMA, INC.
Entity Type:Organization
Organization Name:BURNHAMS VITAL CARE OF ALABAMA, INC.
Other - Org Name:BURNHAM'S VITAL CARE OF MOBILE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-460-1010
Mailing Address - Street 1:2724 OLD SHELL RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-2931
Mailing Address - Country:US
Mailing Address - Phone:251-460-1010
Mailing Address - Fax:251-301-9779
Practice Address - Street 1:2724 OLD SHELL RD UNIT A
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-2931
Practice Address - Country:US
Practice Address - Phone:251-460-1010
Practice Address - Fax:251-301-9779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0004XSuppliersPharmacyCompounding Pharmacy