Healthcare Provider Details

I. General information

NPI: 1811013683
Provider Name (Legal Business Name): OXFORD CITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 E 2ND ST
OXFORD AL
36203-1704
US

IV. Provider business mailing address

310 E 2ND ST
OXFORD AL
36203-1704
US

V. Phone/Fax

Practice location:
  • Phone: 256-241-3140
  • Fax:
Mailing address:
  • Phone: 256-241-3140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFF GOODWIN
Title or Position: SUPERINTENDENT
Credential:
Phone: 256-241-3140