Healthcare Provider Details

I. General information

NPI: 1447218235
Provider Name (Legal Business Name): COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 FRIENDSHIP RD
TALLASSEE AL
36078-1234
US

IV. Provider business mailing address

1355 COMMERCE DR #1102
AUBURN AL
36830-2854
US

V. Phone/Fax

Practice location:
  • Phone: 334-283-3761
  • Fax:
Mailing address:
  • Phone: 334-319-1926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: CHARLES GRANT DARLING
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 334-319-1926