Organization · Type 2 NPI

The Health Care Authority of the City of Huntsville

Addiction Medicine (Family Medicine) Physician · Huntsville, AL

NPI number 1679420004 Active

Practice location

1 Hospital Dr SW
Huntsville, AL 35801-6455

Call (256) 882-3100 Map

Mailing address

101 Sivley Rd SW
Huntsville, AL 35801-4421

Specialties and licenses

Taxonomy	Code	License
Addiction Medicine (Family Medicine) Physician Primary	207QA0401X	None listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

145 other providers at this address

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NPI record

NPI: 1679420004
Entity type: Organization (Type 2)
Issued: Mar 13, 2026
Last updated: Mar 13, 2026
Status: Active
Subpart: Yes of The Health Care Authority of the City of Huntsville

Other names

Crestwood Medical Center · doing business as

Authorized official

David Ralston
Executive Director Revenue Cycle
(256) 801-6011

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679420004

The Health Care Authority of the City of Huntsville's National Provider Identifier is 1679420004, issued on Mar 13, 2026. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Huntsville, AL. The record was last updated on Mar 13, 2026.