Provider Demographics
NPI:1770932733
Name:HEALTHCARE CAPITAL MANAGEMENT
Entity type:Organization
Organization Name:HEALTHCARE CAPITAL MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LETA
Authorized Official - Middle Name:P
Authorized Official - Last Name:OSBORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-939-4122
Mailing Address - Street 1:1220 20TH ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-3814
Mailing Address - Country:US
Mailing Address - Phone:205-939-4122
Mailing Address - Fax:205-444-0128
Practice Address - Street 1:426 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:AL
Practice Address - Zip Code:35550-6000
Practice Address - Country:US
Practice Address - Phone:205-483-7117
Practice Address - Fax:205-483-7177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service