Healthcare Provider Details
I. General information
NPI: 1982561023
Provider Name (Legal Business Name): WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17527 JORDAN STREET
CHATOM AL
36518
US
IV. Provider business mailing address
PO BOX 1299
CHATOM AL
36518-1299
US
V. Phone/Fax
- Phone: 251-847-9800
- Fax:
- Phone: 251-847-9800
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LESLEY
DUNN
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 251-847-2223