Provider Demographics
NPI:1538347067
Name:THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH
Entity type:Organization
Organization Name:THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRUTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-747-4425
Mailing Address - Street 1:PO BOX 241145
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-1145
Mailing Address - Country:US
Mailing Address - Phone:334-273-4520
Mailing Address - Fax:334-273-4425
Practice Address - Street 1:2167 NORMANDIE DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-2728
Practice Address - Country:US
Practice Address - Phone:334-286-3444
Practice Address - Fax:334-286-3450
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529929310Medicaid
AL529929310Medicaid