Alabama Care Plan

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

MEDICAID RCO Issued in AL

Legal business name

ALABAMA CARE PLAN

Practice address

417 20TH St N
Suite 1100
Birmingham, AL 35203-3203

Phone

(205) 558-7641

Fax

(205) 449-7626

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Brad Rollow

Title

Secretary-Treasurer

Phone

(205) 558-7401

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1396137402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 20TH ST N",
            "address_2": "SUITE 1100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033203",
            "telephone_number": "205-558-7641",
            "fax_number": "205-449-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 20TH ST N",
            "address_2": "SUITE 1100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033203",
            "telephone_number": "205-558-7641",
            "fax_number": "205-449-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA CARE PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "ROLLOW",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "SECRETARY-TREASURER",
        "authorized_official_telephone_number": "205-558-7401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AL",
            "license": "MEDICAID RCO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alabama Behavioral Care LLC
• Alabama Brace Company
• Alabama Cardiovascular Group, P.C.
• Alabama Care Network Mid-State
• Alabama Care Network Mid-State
• Alabama Center for Eating Disorders
• Alabama Center for Prosthetics and Orthotics, Inc.
• Alabama Center for Reproductive Medicine PLLC
• Alabama Center for Weight Loss, P.C.
• Alabama Clinical Schools, Inc

• Exclusive Provider Organization in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Exclusive Provider Organization in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.