Montgomery Trauma Associates

LBN: Montgomery Trauma Associates
Montgomery Trauma Associates is an health care organization with primary practice located at 2055 E South Blvd Suite 601, Montgomery AL 36116-2001. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Montgomery Trauma Associates can be contacted via phone (334) 281-9000, or through Miller, Tammy G via phone (334) 613-7076.

Contact Information

Primary practice address
2055 E South Blvd Suite 601 Montgomery AL 36116-2001
Phone: (334) 281-9000
Fax: (334) 281-8262
Website:
Map and Directions
Authorized official contact:
Name: Miller, Tammy G
Phone: (334) 613-7076

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X Alabama
Managed Care Organizations / Preferred Provider Organization 305R00000X 26765 Alabama

Profile Details

NPI number 1902964570
LBN Legal business name Montgomery Trauma Associates
DBA Doing business as
Authorized official Miller, Tammy G
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated May 2nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902964570 NPPES
Alabama Other 51001703 BCBS AL VERMILLION
Alabama Other 1659454254 BCBS AL VERMILLION
Alabama MEDICAID 529926030 BCBS AL VERMILLION

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