Healthcare Provider Details

I. General information

NPI: 1487699203
Provider Name (Legal Business Name): WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 11/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14600 ST STEPHENS AVE
CHATOM AL
36518
US

IV. Provider business mailing address

PO BOX 1299
CHATOM AL
36518-1299
US

V. Phone/Fax

Practice location:
  • Phone: 251-847-2223
  • Fax: 251-847-3808
Mailing address:
  • Phone: 251-847-2223
  • Fax: 251-847-3808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number11878
License Number StateAL

VIII. Authorized Official

Name: MRS. ALYSON OVERSTREET
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 251-847-2223