The Children'S Hospital of Alabama

Organization Active NPI Pediatrics Physician · Trussville, AL

NPI 1679593107 · NPPES record last updated Sep 14, 2020

Key facts

NPI
1679593107
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
THE CHILDREN'S HOSPITAL OF ALABAMA
Practice address
520 Simmons Dr
Trussville, AL 35173-2367
Phone
(205) 836-8691
Fax
(205) 212-7102
NPI assigned
Jul 20, 2006
Organization subpart
Yes
Parent organization (as reported)
THE CHILDREN'S HOSPITAL OF ALABAMA

Authorized official

Name
Dawn Walton
Title
Cfo
Phone
(205) 638-9901

Corporate family (same tax ID) 19

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

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0675077Pediatrics East - Trussville
520 Simmons Drive, Trussville, AL 35173
AccreditationJan 21, 2027

National Provider Directory

Tax ID family
Childrens Hosp of Al (20 organizations share this tax ID)
Part of
Childrens Hosp of Al

Locations

6729 Deerfoot Pkwy
Pinson, AL 35126
Phone (205) 681-5377

520 Simmons Dr
Trussville, AL 35173
Phone (205) 661-4680

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

520 Simmons Dr
Trussville, AL 35173-2367

Mailing address

520 Simmons Dr
Trussville, AL 35173-2367
Phone (205) 836-8691

Other practice location 1

6729 Deerfoot Pkwy
Pinson, AL 35126-3093
Phone (205) 681-5377

Other names

  • Pediatrics East Doing business as

Other providers in Trussville, AL

All providers in Trussville, AL · Pediatrics Physician in Alabama

Sources for this page

Verify at the official NPI Registry.