NPIMap

Organization Active NPI

Greater Al Health Network

  • Exclusive Provider Organization
  • Tuscaloosa, AL
National Provider Identifier
1114356136
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
GREATER AL HEALTH NETWORK
Practice address
921 Professional PLZ
Tuscaloosa, AL 35401-7418
Phone
(205) 345-1905
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Mrs. Becky Henderson
Title
Program Director
Phone
(205) 345-5205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

921 Professional PLZ
Tuscaloosa, AL 35401-7418

Mailing address

921 Professional PLZ
Tuscaloosa, AL 35401-7418
Phone (205) 345-1905

Other identifiers 1

IdentifierTypeStateIssuer
580500004MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Greater Alabama Health Network4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1114356136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 PROFESSIONAL PLZ",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017418",
            "telephone_number": "205-345-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 PROFESSIONAL PLZ",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017418",
            "telephone_number": "205-345-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER AL HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "205-345-5205",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580500004",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.