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NPI Code Detail

MEDICARE: JEFFERSON COUNTY COMMISSION

MEDICARE: JEFFERSON COUNTY COMMISSION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BN1400XNursing Facility Supplies (DME)
2314000000XSkilled Nursing Facility11181AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
163 6002579OTHERALHM BENEFITS ADMINISTRATORS, INC. (USA CORP.)
271-10036OTHERALUNITED HEALTHCARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4010-517OTHERALBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1003806092
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFERSON COUNTY COMMISSION
Provider Business Mailing Address
First Line : 200 N PINE HILL RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35217-1215
Country : US
Telephone Number : 205-849-2352
Fax Number : 205-849-2371
Provider Business Practice Location Address
First Line : 200 N PINE HILL RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35217-1215
Country : US
Telephone Number : 205-849-2352
Fax Number : 205-849-2371
Authorized Official
Title or Position : DIRECTOR
Name : MR. DERRICK WILLIAMS
Credential : LNHA
Telephone Number : 205-849-2352
Provider Enumeration Date : 10/21/2005
Last Update Date : 10/17/2008

Similar Medicare Providers

1619257110 — LAUREN HUTTS MD
Practice Location Address:
200 N PINE HILL RD
BIRMINGHAM, AL
35217-1215
Practice Phone: 205-849-2352
Practice Fax:
1861836306 — NORTH HILL NURSING AND REHABILITATION CENTER, LLC
Practice Location Address:
200 N PINE HILL RD
BIRMINGHAM, AL
35217-1215
Practice Phone: 205-238-8677
Practice Fax:
1851815203 — DONNA NEWELL LLC
Practice Location Address:
200 N PINE HILL RD
BIRMINGHAM, AL
35217-1215
Practice Phone: 205-849-2352
Practice Fax:
1255143574 — ALANDA HARTON PT, DPT
Practice Location Address:
200 N PINE HILL RD
BIRMINGHAM, AL
35217-1215
Practice Phone: 205-849-2352
Practice Fax:
1679442503 — PINE HILL SNF OPCO LLC
Practice Location Address:
200 N PINE HILL RD
BIRMINGHAM, AL
35217-1215
Practice Phone: 205-849-2352
Practice Fax:
1699989368 — MS. VIVIAN YVONNE MADISON OTR
Practice Location Address:
4863 HUTSON AVE
BIRMINGHAM, AL
35207-1215
Practice Phone: 205-669-7455
Practice Fax: 205-328-5821

Directions to “JEFFERSON COUNTY COMMISSION ” Practice Location

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