Healthcare Provider Details

I. General information

NPI: 1386818268
Provider Name (Legal Business Name): ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 MEDICAL PARK DR
ATMORE AL
36502-3006
US

IV. Provider business mailing address

401 MEDICAL PARK DR
ATMORE AL
36502-3006
US

V. Phone/Fax

Practice location:
  • Phone: 251-368-8500
  • Fax: 850-434-4683
Mailing address:
  • Phone: 251-368-2500
  • Fax: 251-368-6237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License NumberH2702
License Number StateAL

VIII. Authorized Official

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