Healthcare Provider Details

I. General information

NPI: 1093994758
Provider Name (Legal Business Name): ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2007
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 E LAUREL ST
ATMORE AL
36502-3014
US

IV. Provider business mailing address

611 E LAUREL ST
ATMORE AL
36502-3014
US

V. Phone/Fax

Practice location:
  • Phone: 251-368-8001
  • Fax: 251-368-8081
Mailing address:
  • Phone: 251-368-8001
  • Fax: 251-368-8081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY LOWERY
Title or Position: ADMINISTRATOR
Credential:
Phone: 251-368-6362