| Baptist Medical Center South - Crossbridge | |
|
2105 E South Blvd Montgomery AL 36116-2409 | |
| (334) 286-2987 | |
| (334) 286-3368 |
| Full Name | Baptist Medical Center South - Crossbridge |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2105 E South Blvd, Montgomery, Alabama |
| Authorized Official Name and Position | Katrina Keefer Belt (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3342734447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Medical Center South - Crossbridge Po Box 241145 Montgomery AL 36124-1145 Ph: (334) 273-4520 | Baptist Medical Center South - Crossbridge 2105 E South Blvd Montgomery AL 36116-2409 Ph: (334) 286-2987 |
| NPI Number | 1942394739 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 05/17/2010 |
| Medicare PECOS PAC ID | 8426076670 |
|---|---|
| Medicare Enrollment ID | O20070613000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942394739 | NPI | - | NPPES |
| 816 | Other | AL | BLUE CROSS BLUE SHIELD |
| HOS0023H | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 11321 (Alabama) | Primary |
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