ALABAMA CARE PLAN (NPI# 1396137402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396137402 |
Entity Type | Organization |
Organization Name | ALABAMA CARE PLAN |
Practice Address |
417 20th St N Suite 1100 Birmingham AL 35203-3203 |
Practice Telephone | 2055587641 |
Practice Fax Number | 2054497626 |
Mailing Telephone | 2055587641 |
Mailing Fax Number | 2054497626 |
Enumeration Date | 2015-02-26 |
Last Update Date | 2015-02-26 |
Authorized Official Name | MR. BRAD ROLLOW (SECRETARY-TREASURER) |
Authorized Official Telephone | 2055587401 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 302F00000X | Exclusive Provider Organization | MEDICAID RCO | AL | Managed Care Organizations |
Street Address |
417 20TH ST N SUITE 1100 |
City | BIRMINGHAM |
State | AL |
Zip Code | 35203-3203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730294257 | Alabama Maternity, Inc. | Case Management | 417 20th St N, Suite 1100, Birmingham, AL 35203-3203 | 2006-08-21 |
1629184189 | Viva Health Administration, L.L.C. | Case Management | 417 20th St N, Suite 1100, Birmingham, AL 35203-3203 | 2006-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790140986 | Dominique Cecil | Counselor | 205 20th Street North Suite 600, Birmingham, AL 35203 | 2015-12-15 |
1831501493 | Imed Equip LLC | Durable Medical Equipment & Medical Supplies | 1201 3rd Ave North, Birmingham, AL 35203 | 2014-05-29 |
1205197951 | Northwest Emergency Physician Group | Emergency Medicine | 624 28th St N, Birmingham, AL 35203 | 2012-05-30 |
1871751800 | Lygis Holcomb | Nurse Practitioner | 712 25th Street North, Birmingham, AL 35203 | 2008-05-27 |
1871666867 | Luisa Camposano Eroles | Nurse Practitioner | 1600 20th Street South, Bham, AL 35203 | 2006-11-16 |
1770516643 | Medtown Inc | Pharmacy | 221 20th Street North, Birmingham, AL 35203 | 2006-07-07 |
1235168766 | Michael Chandler | Family Medicine | 2200 Rev Abraham Woods Blvd North, Birmingham, AL 35203 | 2006-06-30 |
1821054511 | James Morris Lewis | Ophthalmology | 1704 5th Ave No, Birmingham, AL 35203 | 2006-04-22 |
1710941349 | Sandra L. Mcmichael | Nurse Practitioner | 1022 1st Ave N, Suite 301, Birmingham, AL 35203 | 2006-04-12 |
1801380001 | Icp Alabama, LLC | Nurse Practitioner | 420 20th St N Ste 2200, Birmingham, AL 35203 | 2018-06-20 |
Find all providers in zip 35203 |
Taxonomy Code | 302F00000X |
Grouping | Managed Care Organizations |
Classification | Exclusive Provider Organization |
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013916725 | Php of Alabama | Exclusive Provider Organization | 2352 Center Point Pkwy, Birmingham, AL 35215-3608 | 2005-07-15 |
1437602281 | Dental Wellness Center of Birmingham | Exclusive Provider Organization | 2001 Park Pl, Suite 835, Birmingham, AL 35203-2735 | 2016-07-28 |
1992807259 | Alabama Vision Center, LLC | Exclusive Provider Organization | 790 Montclair Rd, Suite 100, Birmingham, AL 35213-1966 | 2006-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710595202 | Solidarity Medical Care | Exclusive Provider Organization | 4024 Windswept Dr, Madison, AL 35757-7927 | 2020-07-21 |
1649828328 | Sixfourthree, LLC | Exclusive Provider Organization | 8490 Highway 72 W Ste 120, Madison, AL 35758-9575 | 2019-08-27 |
1245720473 | Jonah's Place Counseling, LLC | Exclusive Provider Organization | 28256 State Highway 75 Ste C, Oneonta, AL 35121-1659 | 2018-05-14 |
1427587716 | Helton Vision Associates,p.c. | Exclusive Provider Organization | 3016 S Alabama Ave, Monroeville, AL 36460-5600 | 2017-06-08 |
1093253668 | Infinity Infusion Nursing LLC | Exclusive Provider Organization | 4193 Saddlewood Dr, Saraland, AL 36571-9535 | 2017-02-03 |
1346613700 | Royshanda Smith LLC | Exclusive Provider Organization | 120 N Lafayette St Ste A, Mobile, AL 36604-2258 | 2015-11-07 |
1164825915 | Hcrc, Inc - Home Health | Exclusive Provider Organization | 12094 Olde South Ln, Mc Calla, AL 35111-2331 | 2014-10-07 |
1538405683 | R&r Grouphomes Inc | Exclusive Provider Organization | 1502 Faye St Sw, 1502 Faye St Sw, Decatur, AL 35601-2731 | 2012-12-18 |
1063758282 | Montelissa Full Life Resources, Inc | Exclusive Provider Organization | 1008 Clarkview St Sw, Decatur, AL 35601-6204 | 2012-12-15 |
1649542416 | Hnh Immunizations Inc | Exclusive Provider Organization | 326 Prairie Street North, Union Springs, AL 36089 | 2012-02-08 |
Find all providers with the same taxonomy |
City | BIRMINGHAM |
Zip Code | 35203 |
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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.