| Organization Name: | THE HEALTHCARE AUTHORITY OF NORTH ALABAMA |
| NPI Number: | 1003283524 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WENDY RYAN (ADMINISTRATIVE ASSISTANT) |
| Mailing Address: | 9238 Madison Blvd Building 1, Suite 200 Madison |
| State: | AL US |
| Postal Code: | 357589100 |
| Phone Number: | 2562653285 |
| Fax Number: | 2567745300 |
| NPI Enumeration Date: | 09/01/2015 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |