Healthcare Provider Details

I. General information

NPI: 1770556482
Provider Name (Legal Business Name): ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DOTHAN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2006
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1736 E MAIN ST
DOTHAN AL
36301
US

IV. Provider business mailing address

9001 LIBERTY PARKWAY
BIRMINGHAM AL
35242
US

V. Phone/Fax

Practice location:
  • Phone: 334-712-6333
  • Fax: 334-712-9816
Mailing address:
  • Phone: 205-967-7116
  • Fax: 205-969-6650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number3504
License Number StateAL

VIII. Authorized Official

Name: CAREY BENNETT MCRAE
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 205-970-3442