Healthcare Provider Details

I. General information

NPI: 1093871618
Provider Name (Legal Business Name): CLEBURNE COUNTY HOSPITAL BOARD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5902 HIGHWAY 46
HEFLIN AL
36264-6107
US

IV. Provider business mailing address

5902 HIGHWAY 46
HEFLIN AL
36264-6107
US

V. Phone/Fax

Practice location:
  • Phone: 256-463-2494
  • Fax: 256-463-2218
Mailing address:
  • Phone: 256-463-2494
  • Fax: 256-463-2218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number581
License Number StateAL

VIII. Authorized Official

Name: KEITH ROBERTS
Title or Position: DIRECTOR
Credential: PARAMEDIC
Phone: 256-463-2494