| |
5000 Medical West Way Bessemer AL 35022-7082 | |
(205) 481-7000 | |
Not Available |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 5000 Medical West Way, Bessemer, Alabama |
Authorized Official Name and Position | Brandon H Slocum (CFO) |
Authorized Official Contact | 2054817134 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5000 Medical West Way Bessemer AL 35022-7082 Ph: (205) 481-7000 | 5000 Medical West Way Bessemer AL 35022-7082 Ph: (205) 481-7000 |
NPI Number | 1669577094 |
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Provider Enumeration Date | 09/13/2006 |
Last Update Date | 08/30/2024 |
Certification Date | 08/30/2024 |
Medicare PECOS PAC ID | 6406865427 |
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Medicare Enrollment ID | O20071001000815 |
Identifier | Type | State | Issuer |
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1669577094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | 12816 (Alabama) | Primary |
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