MEDICARE: CHAPMAN HEALTHCARE CENTER, INC.

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
1	314000000X	Skilled Nursing Facility	12684	AL

Other Identifiers

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

General Provider Information

NPI Number	:	1700873411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAPMAN HEALTHCARE CENTER, INC.

Provider Business Mailing Address
First Line	:	3701 DADEVILLE RD
Second Line	:
City	:	ALEXANDER CITY
State	:	AL
Zip	:	35010-9075
Country	:	US
Telephone Number	:	256-234-6366
Fax Number	:	256-234-2366

Provider Business Practice Location Address
First Line	:	3701 DADEVILLE RD
Second Line	:
City	:	ALEXANDER CITY
State	:	AL
Zip	:	35010-9075
Country	:	US
Telephone Number	:	256-234-6366
Fax Number	:	256-234-2366

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ARCHIE JERRY CHAPMAN
Credential	:
Telephone Number	:	256-234-6366

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	02/05/2008

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