Healthcare Provider Details
I. General information
NPI: 1538499538
Provider Name (Legal Business Name): TROY HOSPITAL HEALTHCARE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/13/2010
Last Update Date: 01/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1330 HIGHWAY 231 S
TROY AL
36081-3058
US
IV. Provider business mailing address
1330 HIGHWAY 231 S
TROY AL
36081-3058
US
V. Phone/Fax
- Phone: 334-670-5000
- Fax: 334-670-5492
- Phone: 334-670-5000
- Fax: 334-670-5492
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | NOT REQUIRED |
| License Number State | |
VIII. Authorized Official
Name:
JANET
E
SMITH
Title or Position: CFO
Credential:
Phone: 334-670-5427