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NPI Code Detail

MEDICARE: PERRY COUNTY HOSPITAL ASSOCIATION

MEDICARE: PERRY COUNTY HOSPITAL ASSOCIATION
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1255672507
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERRY COUNTY HOSPITAL ASSOCIATION
Provider Business Mailing Address
First Line : PO BOX 149
Second Line :
City : MARION
State : AL
Zip : 36756-0149
Country : US
Telephone Number : 334-683-9696
Fax Number : 334-683-9995
Provider Business Practice Location Address
First Line : 505 E LAFAYETTE ST
Second Line :
City : MARION
State : AL
Zip : 36756-2323
Country : US
Telephone Number : 334-683-9696
Fax Number : 334-683-9995
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. SHARON PHILLIPS
Credential :
Telephone Number : 334-683-9696
Provider Enumeration Date : 03/12/2013
Last Update Date : 08/08/2016

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Directions to “PERRY COUNTY HOSPITAL ASSOCIATION ” Practice Location

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