Provider Demographics
NPI:1457565053
Name:HEALTHSPRING OF ALABAMA, INC. S5932
Entity Type:Organization
Organization Name:HEALTHSPRING OF ALABAMA, INC. S5932
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:RJ
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:832-553-3375
Mailing Address - Street 1:TWO PERIMETER PARK SOUTH
Mailing Address - Street 2:SUITE 300W
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-3207
Mailing Address - Country:US
Mailing Address - Phone:205-968-1000
Mailing Address - Fax:832-553-3584
Practice Address - Street 1:TWO PERIMETER PARK SOUTH
Practice Address - Street 2:SUITE 300W
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-3207
Practice Address - Country:US
Practice Address - Phone:205-968-1000
Practice Address - Fax:832-553-3584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL95781302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALS5932Medicare ID - Type Unspecified95781