| Organization Name: | ALABAMA HEALTHCARE ADVANTAGE NORTH |
| NPI Number: | 1881059509 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD W WHITNEY (SECRETARY OF BOD) |
| Mailing Address: | 8650 Minnie Brown Rd Ste 224 Montgomery |
| State: | AL US |
| Postal Code: | 361177433 |
| Phone Number: | 3342153985 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2015 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |