Healthcare Provider Details

I. General information

NPI: 1043399983
Provider Name (Legal Business Name): SPRINGHILL HOSPITALS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3719 DAUPHIN ST 4TH FLOOR CLASSROOM
MOBILE AL
36608-1753
US

IV. Provider business mailing address

3719 DAUPHIN ST
MOBILE AL
36608-1753
US

V. Phone/Fax

Practice location:
  • Phone: 251-344-9630
  • Fax:
Mailing address:
  • Phone: 251-460-5280
  • Fax: 251-460-5339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number0912-2514
License Number StateAL

VIII. Authorized Official

Name: STEPHEN JAN GRIGSBY
Title or Position: VP FINANCE
Credential:
Phone: 251-460-5220