Healthcare Provider Details

I. General information

NPI: 1720001019
Provider Name (Legal Business Name): AFFINITY HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 03/29/2021
Certification Date: 03/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3690 GRANDVIEW PKWY
BIRMINGHAM AL
35243-3326
US

IV. Provider business mailing address

3690 GRANDVIEW PKWY
BIRMINGHAM AL
35243-3326
US

V. Phone/Fax

Practice location:
  • Phone: 205-971-1000
  • Fax: 205-971-5653
Mailing address:
  • Phone: 205-971-1000
  • Fax: 205-971-5653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: PAULA M LALOR
Title or Position: DIRECTOR/DELEGATED OFFICIAL
Credential:
Phone: 629-215-3953