Healthcare Provider Details

I. General information

NPI: 1437160157
Provider Name (Legal Business Name): INFIRMARY HEALTH HOSPITALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 08/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 GIRBY RD
MOBILE AL
36693-3320
US

IV. Provider business mailing address

5600 GIRBY RD
MOBILE AL
36693-3320
US

V. Phone/Fax

Practice location:
  • Phone: 251-660-5590
  • Fax:
Mailing address:
  • Phone: 251-660-5590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number11851
License Number StateAL

VIII. Authorized Official

Name: JOE DENTON
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 251-435-2011