Provider Demographics
NPI:1588878854
Name:HEALTHCARE AUTHORITY OF UAB HIGHLANDS AN AFFILIATE OF UAB HEALTH SYSTE
Entity type:Organization
Organization Name:HEALTHCARE AUTHORITY OF UAB HIGHLANDS AN AFFILIATE OF UAB HEALTH SYSTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-930-7100
Mailing Address - Street 1:PO BOX 11407 DRAWER 1432
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-1432
Mailing Address - Country:US
Mailing Address - Phone:205-975-7389
Mailing Address - Fax:205-975-4662
Practice Address - Street 1:1201 11TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-3410
Practice Address - Country:US
Practice Address - Phone:205-437-6098
Practice Address - Fax:205-437-5998
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHCARE AUTHORITY OF UAB HIGHLANDS AN AFFILIATE OF UAB HEALTH SYSTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-09
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC096OtherBCBS
AL529932905Medicaid
ALC096OtherBCBS
ALDG1239Medicare PIN