Healthcare Provider Details
I. General information
NPI: 1548787286
Provider Name (Legal Business Name): THE TROY HOSPITAL HEALTH CARE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2017
Last Update Date: 07/21/2022
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: 334-566-7490
- Phone: 334-670-5000
- Fax: 334-566-7490
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 273R00000X |
| Taxonomy | Psychiatric Hospital Unit |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
ALICE
TEAL
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 334-670-5000