Healthcare Provider Details

I. General information

NPI: 1497011183
Provider Name (Legal Business Name): REGIONAL HEALTH MANAGEMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 04/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

469 PRICE ST
ROANOKE AL
36274-2104
US

IV. Provider business mailing address

469 PRICE ST
ROANOKE AL
36274-2104
US

V. Phone/Fax

Practice location:
  • Phone: 334-863-3229
  • Fax: 334-863-5596
Mailing address:
  • Phone: 334-863-2311
  • Fax: 334-863-5596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES LIPSCOMB
Title or Position: VICE PRESIDENT
Credential:
Phone: 256-235-5015