Glenwood, Inc. | |
150 Glenwood Ln Birmingham AL 35242-5700 | |
(205) 969-2880 | |
(205) 795-3261 |
Full Name | Glenwood, Inc. |
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Speciality | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Location | 150 Glenwood Ln, Birmingham, Alabama |
Authorized Official Name and Position | Barbara Murbach (VICE PRESIDENT OF ADMINISTRATION) |
Authorized Official Contact | 2057953206 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Glenwood, Inc. 150 Glenwood Ln Birmingham AL 35242-5700 Ph: (205) 969-2880 | Glenwood, Inc. 150 Glenwood Ln Birmingham AL 35242-5700 Ph: (205) 969-2880 |
NPI Number | 1285646430 |
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Provider Enumeration Date | 08/13/2006 |
Last Update Date | 03/18/2008 |
Medicare PECOS PAC ID | 7719247311 |
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Medicare Enrollment ID | O20180130001155 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285646430 | NPI | - | NPPES |
RTF0014H | Medicaid | AL |
Provider Name | Brooke Lambert Thomas |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669662029 PECOS PAC ID: 7416217013 Enrollment ID: I20180130001307 |
Provider Name | Raegan Anne Corcoran |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467153767 PECOS PAC ID: 4183087877 Enrollment ID: I20230829000617 |
Provider Name | Gina Carroll Martin |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1811509227 PECOS PAC ID: 1850755836 Enrollment ID: I20230908002150 |
Provider Name | Jennifer Nicole Johnsonbarnett |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487958930 PECOS PAC ID: 7810351723 Enrollment ID: I20230911004279 |
Provider Name | Jordan Elizabeth Knudsen |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1134865579 PECOS PAC ID: 1759728538 Enrollment ID: I20240328002584 |
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