Provider Demographics
NPI:1295076545
Name:HILLCREST URGENT CARE OF ALABAMA, P.C.
Entity type:Organization
Organization Name:HILLCREST URGENT CARE OF ALABAMA, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GAMIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:DAWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-459-6200
Mailing Address - Street 1:2370 HILLCREST RD STE M
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3841
Mailing Address - Country:US
Mailing Address - Phone:251-459-6200
Mailing Address - Fax:251-459-6201
Practice Address - Street 1:2370 HILLCREST RD STE M
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3841
Practice Address - Country:US
Practice Address - Phone:251-459-6200
Practice Address - Fax:251-459-6201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-12
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19930261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG27413Medicare UPIN