1811341167 NPI number — BBH SBMC, LLC

Table of content: (NPI 1811341167)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811341167 NPI number — BBH SBMC, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BBH SBMC, LLC
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:
SHELBY BAPTIST MEDICAL CENTER
Provider Other Organization Name Type Code:
3
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:
1811341167
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/16/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14201 DALLAS PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75254-2916
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-715-5427
Provider Business Mailing Address Fax Number:
205-715-5878

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 1ST ST N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALABASTER
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35007-8703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-620-8100
Provider Business Practice Location Address Fax Number:
205-620-7003
Provider Enumeration Date:
04/22/2016

Additional Information

Authorized Official

Authorized Official Last Name:
ABERCROMBIE
Authorized Official First Name:
ZACH
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
205-620-7095

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 130 . This is a "BLUE CROSS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 201045 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: HOS0016H , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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