Healthcare Provider Details

I. General information

NPI: 1679347561
Provider Name (Legal Business Name): GULF HEALTH HOSPITALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2023
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 US HIGHWAY 90 BUILDING B, SUITE B100
DAPHNE AL
36526-9512
US

IV. Provider business mailing address

PO BOX 1468
DAPHNE AL
36526-1468
US

V. Phone/Fax

Practice location:
  • Phone: 251-625-8445
  • Fax: 251-625-8449
Mailing address:
  • Phone: 251-625-8445
  • Fax: 251-625-8449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS MARK NIX
Title or Position: PRESIDENT/CEO
Credential:
Phone: 251-625-8454