UNIVERSITY OF ALABAMA AT BIRMINGHAM (NPI# 1073679692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073679692 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF ALABAMA AT BIRMINGHAM |
| Other Organization Name | CRITICAL CARE TRANSPORT |
| Practice Address |
619 19th St S Abc 1516 Birmingham AL 35249-1900 |
| Practice Telephone | 2059343645 |
| Practice Fax Number | 2059344504 |
| Mailing Telephone | 2059343645 |
| Mailing Fax Number | 2059344504 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2013-09-10 |
| Authorized Official Name | MRS. MARY BETH BRISCOE (CFO) |
| Authorized Official Telephone | 2059342620 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF ALABAMA AT BIRMINGHAM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
002497 | AL | Transportation Services |
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
002497 | AL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 200037113 | 05 | |
| MS | 00553687 | 05 | |
| AL | 200037112 | 05 |
| Other Name | Type Code |
|---|---|
| Critical Care Transport | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558762377 | University of Alabama At Birmingham | General Acute Care Hospital | 686 Longwood Way, Gardendale, AL 35071-4106 | 2014-09-11 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1265784292 | University of Alabama At Birmingham | Special Hospital | Fot 1164 1720 2 Nd Ave S, Birmingham, AL 35294-3411 | 2012-10-15 |
| 1821351669 | University of Alabama At Birmingham | Preventive Medicine | Uab Russell Clinic, 1813 6th Ave N, Suite M120, Birmingham, AL 35249-0001 | 2012-06-18 |
| 1023311644 | University of Alabama At Birmingham | General Acute Care Hospital | Fot 930, 1530 3rd Ave S, Birmingham, AL 35294-0019 | 2010-12-21 |
| 1356674360 | University of Alabama At Birmingham | Nurse Anesthetist, Certified Registered | 619 19th St S # Jt845, Birmingham, AL 35249-6922 | 2009-09-09 |
| 1508051525 | University of Alabama At Birmingham | Clinical Medical Laboratory | 618 20th Street South, Birmingham, AL 35294 | 2007-09-12 |
| 1235237900 | University of Alabama At Birmingham | Rehabilitation Unit | 500 22nd St S, Birmingham, AL 35233-3110 | 2006-09-20 |
| 1013014851 | University of Alabama At Birmingham | Pharmacy | 908 20th St S Rm 252, Birmingham, AL 35205-2610 | 2006-09-20 |
| 1598862500 | University of Alabama At Birmingham | Dentist | 1919 7th Avenue South, Sdb 53, Birmingham, AL 35294 | 2006-09-20 |
| Street Address |
619 19TH ST S ABC 1516 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35249-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838505 | Peggy Calhoun Wilson | Pharmacist | 619 19th St S, Birmingham, AL 35249-1900 | 2005-06-01 |
| 1922607548 | Breck Fowler Hamilton | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-24 |
| 1477152650 | Brandi Bailey | Nurse Practitioner | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-20 |
| 1003415456 | Shannon Marie Harrison | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-17 |
| 1720685886 | Aeriel Flippo Swinsick | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-02 |
| 1477160604 | Lundy Starke Williams | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-01 |
| 1003422320 | Leah York | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-09-22 |
| 1972123420 | William Chase Cooper | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-04-24 |
| 1699394494 | Eme Unanaowo | Registered Nurse | 619 19th St S, Spain Wallace Bldg, Birmingham, AL 35233-1900 | 2020-04-11 |
| 1285253369 | Robert Chase Ruffo | Student in an Organized Health Care Education/Training Program | 619 19th St S, Birmingham, AL 35249-1900 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770070682 | Jordan Bauer | Student in an Organized Health Care Education/Training Program | 625 19 Street South, Birmingham, AL 35249 | 2018-04-16 |
| 1356847917 | Kathryn Leonards Sinquefield | Student in an Organized Health Care Education/Training Program | 625 19 Th Street South, Birmingham, AL 35249 | 2018-04-03 |
| 1285167288 | Lauren Marie Theiss | Student in an Organized Health Care Education/Training Program | 625 19th Street S, Birmingham, AL 35249 | 2017-04-06 |
| 1992159040 | Christopher Lee Anderson | Student in an Organized Health Care Education/Training Program | 625 19th St South, Birmingham, AL 35249 | 2016-04-14 |
| 1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1255693149 | William M Perez | Obstetrics & Gynecology | 176f 10360d 619 19th Street South, Birmingham, AL 35249 | 2012-06-15 |
| 1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
| Find all providers in zip 35249 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740375203 | Omni Transport Systems Alabama LLC | Ambulance | 1557 Walnut Hill Cir, Birmingham, AL 35234-2820 | 2006-10-03 |
| 1265439467 | Airmed International, LLC | Ambulance | 1000 Urban Center Dr, Suite 470, Birmingham, AL 35242-2532 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137392 | Rocky Mountain Holdings, LLC | Ambulance | 364 Airport Rd, Sylacauga, AL 35151-4576 | 2020-09-04 |
| 1528676798 | Rocky Mountain Holdings, LLC | Ambulance | 2097 County Road 177, Cusseta, AL 36852-2716 | 2020-07-14 |
| 1629626726 | Joseph Todor | Ambulance | 3190 Airport Dr, Gulf Shores, AL 36542-2818 | 2019-09-01 |
| 1396218855 | Med-trans Corporation | Ambulance | 411 Medical Park Dr, Atmore, AL 36502-3006 | 2019-01-08 |
| 1275084535 | Med-trans Corporation | Ambulance | 36276 State Highway 59, Stapleton, AL 36578-0000 | 2016-10-20 |
| 1184011272 | Rocky Mountain Holdings, LLC | Ambulance | 10101 Moffett Rd, Semmes, AL 36575-5377 | 2015-04-16 |
| 1457776197 | Haynes Life Flight LLC | Ambulance | 545 Hospital Dr, Wetumpka, AL 36092-1626 | 2014-03-04 |
| 1578835153 | Air Evac Ems Inc | Ambulance | 1020 S Cedar Ave, Demopolis, AL 36732-3308 | 2012-01-30 |
| 1750498341 | Air Evac Ems Inc. | Ambulance | 1155 Al Hwy 14, Elmore, AL 36025 | 2006-08-23 |
| 1033192695 | Air Evac Ems Inc | Ambulance | 1010 3 Mile Ln, Tuscumbia, AL 35674 | 2005-11-28 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35249 |
Please comment or provide details below to improve the information on UNIVERSITY OF ALABAMA AT BIRMINGHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.