Organization Active NPI

Alabama Care Network Mid-State

  • Case Management Agency
  • Birmingham, AL
National Provider Identifier
1104481837
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ALABAMA CARE NETWORK MID-STATE
Practice address
417 20TH St N Ste 1100
Birmingham, AL 35203-3216
Phone
(833) 296-5245
Fax
(205) 449-9759
NPI assigned
May 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anna Velasco
Title
Secretary
Phone
(833) 296-5245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

417 20TH St N Ste 1100
Birmingham, AL 35203-3216

Mailing address

417 20TH St N Ste 1100
Birmingham, AL 35203-3216
Phone (833) 296-5245

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address avelasco@uabmc.edu Direct

National Provider Directory

National Provider Directory
Tax ID family
Alabama Care Network Mid-State2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1104481837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 20TH ST N STE 1100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033216",
            "telephone_number": "833-296-5245",
            "fax_number": "205-449-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 20TH ST N STE 1100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033216",
            "telephone_number": "833-296-5245",
            "fax_number": "205-449-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA CARE NETWORK MID-STATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "833-296-5245"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avelasco@uabmc.edu",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "417 20th St N Ste 1100",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352033216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.