Healthcare Provider Details

I. General information

NPI: 1952575789
Provider Name (Legal Business Name): BAPTIST HEALTH SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 04/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 HIGHWAY 78 E
JASPER AL
35502-3543
US

IV. Provider business mailing address

3400 HIGHWAY 78 E
JASPER AL
35502-3543
US

V. Phone/Fax

Practice location:
  • Phone: 205-387-4858
  • Fax: 205-387-4535
Mailing address:
  • Phone: 205-387-4858
  • Fax: 205-387-4535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. CATHY SUE BRUCE
Title or Position: PRENATAL EDUCATION COORDINATOR
Credential: RN, BSN, CCE, IBCLC
Phone: 205-387-4858