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NPI Code Detail

MEDICARE: CROSSVILLE HEALTH AND REHABILITATION LLC

MEDICARE: CROSSVILLE HEALTH AND REHABILITATION LLC
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
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2014226OTHERALBCBS ID

General Provider Information

NPI Number : 1336200526
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROSSVILLE HEALTH AND REHABILITATION LLC
Provider Business Mailing Address
First Line : 8922 HIGHWAY 227 NORTH
Second Line :
City : CROSSVILLE
State : AL
Zip : 35962
Country : US
Telephone Number : 256-528-7844
Fax Number :
Provider Business Practice Location Address
First Line : 8922 HIGHWAY 227 NORTH
Second Line :
City : CROSSVILLE
State : AL
Zip : 35962
Country : US
Telephone Number : 256-528-7844
Fax Number :
Authorized Official
Title or Position : VICE-PRESIDENT
Name : MR. PHILLIP CODY LONG
Credential :
Telephone Number : 205-391-3600
Provider Enumeration Date : 12/12/2006
Last Update Date : 10/12/2020

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Directions to “CROSSVILLE HEALTH AND REHABILITATION LLC ” Practice Location

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