Healthcare Provider Details

I. General information

NPI: 1548710197
Provider Name (Legal Business Name): INFIRMARY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2016
Last Update Date: 10/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 MOBILE INFIRMARY CIR
MOBILE AL
36607-3513
US

IV. Provider business mailing address

PO BOX 2226
MOBILE AL
36652-2226
US

V. Phone/Fax

Practice location:
  • Phone: 251-435-5822
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ZAKIYYAH JONES
Title or Position: CRNP
Credential:
Phone: 251-472-7796