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NPI Code Detail

MEDICARE: THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON

MEDICARE: THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care HospitalH0804AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265483267
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON
Provider Business Mailing Address
First Line : 1701 S. PELHAM RD.
Second Line :
City : JACKSONVILLE
State : AL
Zip : 36265-3353
Country : US
Telephone Number : 256-782-4538
Fax Number : 256-782-4589
Provider Business Practice Location Address
First Line : 1701 PELHAM RD S
Second Line :
City : JACKSONVILLE
State : AL
Zip : 36265-3353
Country : US
Telephone Number : 256-435-4970
Fax Number : 256-782-4589
Authorized Official
Title or Position : CEO
Name : LOUIS A. BASS
Credential :
Telephone Number : 256-235-5646
Provider Enumeration Date : 05/14/2006
Last Update Date : 10/28/2016

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Practice Fax:
1457458820 — QHG OF JACKSONVILLE INC
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Directions to “THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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