Provider Demographics
NPI:1104917780
Name:HEALTH CARE AUTHORITY FOR BAPTIST HEALTH AN AFFILIATE OF UABHS
Entity type:Organization
Organization Name:HEALTH CARE AUTHORITY FOR BAPTIST HEALTH AN AFFILIATE OF UABHS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-747-4258
Mailing Address - Street 1:PO BOX 241145
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-1145
Mailing Address - Country:US
Mailing Address - Phone:334-747-4307
Mailing Address - Fax:334-747-4172
Practice Address - Street 1:400 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3512
Practice Address - Country:US
Practice Address - Phone:334-244-8500
Practice Address - Fax:334-244-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11853282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1708925OtherLA MEDICAID
ALHOS0149HMedicaid
MS08608860OtherMS MEDICAID
AL160OtherBLUE CROSS BLUE SHIELD
AL=========OtherTRICARE
=========OtherOTHER COMMERCIAL INSURANC
MS08608860OtherMS MEDICAID
ALHOS0149HMedicaid
AL160OtherBLUE CROSS BLUE SHIELD
AL=========OtherVIVA
LA1708925OtherLA MEDICAID