Provider Demographics
NPI:1104033208
Name:AFTER HOURS FAMILY MEDICINE HOOVER
Entity type:Organization
Organization Name:AFTER HOURS FAMILY MEDICINE HOOVER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:ELCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-824-2085
Mailing Address - Street 1:618 LORNA SQUARE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216
Mailing Address - Country:US
Mailing Address - Phone:205-824-2085
Mailing Address - Fax:205-824-2086
Practice Address - Street 1:3216 CAHABA HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-1614
Practice Address - Country:US
Practice Address - Phone:205-824-2085
Practice Address - Fax:205-824-2086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALL235Medicare PIN