Healthcare Provider Details

I. General information

NPI: 1790754802
Provider Name (Legal Business Name): REHABILITATION HOSPITAL OF PHENIX CITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 HIGHWAY 280/431 NORTH
PHENIX CITY AL
36867
US

IV. Provider business mailing address

9001 LIBERTY PKWY
BIRMINGHAM AL
35242-7509
US

V. Phone/Fax

Practice location:
  • Phone: 334-732-2200
  • Fax: 334-732-2123
Mailing address:
  • Phone: 205-967-7116
  • Fax: 205-969-6650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number08552
License Number StateAL

VIII. Authorized Official

Name: CAREY MCRAE
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 205-970-3442