1811974603 NPI number — WEST ALABAMA WOMEN'S CENTER INC.

Table of content: (NPI 1811974603)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811974603 NPI number — WEST ALABAMA WOMEN'S CENTER INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEST ALABAMA WOMEN'S CENTER INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LOUIS T. PAYNE M.D.
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811974603
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
535 JACK WARNER PKWY NE
Provider Second Line Business Mailing Address:
SUITE I
Provider Business Mailing Address City Name:
TUSCALOOSA
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35404-5751
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-556-2026
Provider Business Mailing Address Fax Number:
205-554-0584

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
535 JACK WARNER PKWY NE
Provider Second Line Business Practice Location Address:
SUITE I
Provider Business Practice Location Address City Name:
TUSCALOOSA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35404-5751
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-556-2026
Provider Business Practice Location Address Fax Number:
205-554-0584
Provider Enumeration Date:
12/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
TORRES
Authorized Official First Name:
LEAH
Authorized Official Middle Name:
N
Authorized Official Title or Position:
PROVIDER
Authorized Official Telephone Number:
205-556-2026

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  3505 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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