Healthcare Provider Details

I. General information

NPI: 1366440562
Provider Name (Legal Business Name): GULF HEALTH HOSPITALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 07/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 MEDICAL CENTER DR
BAY MINETTE AL
36507-4163
US

IV. Provider business mailing address

2010 MEDICAL CENTER DR
BAY MINETTE AL
36507-4163
US

V. Phone/Fax

Practice location:
  • Phone: 251-937-3501
  • Fax: 251-580-3678
Mailing address:
  • Phone: 251-937-3501
  • Fax: 251-580-3678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number10461
License Number StateAL

VIII. Authorized Official

Name: MRS. GAIL G. MCINNISH
Title or Position: ADMINISTRATOR
Credential:
Phone: 251-937-3501