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NPI Code Detail

MEDICARE: PERRY CTY HOSPITAL ASSN

MEDICARE: PERRY CTY HOSPITAL ASSN
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 Facility12661AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30416900001OTHERALPGBA
4010555OTHERALBLUE CROSS

General Provider Information

NPI Number : 1396856829
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERRY CTY HOSPITAL ASSN
Provider Business Mailing Address
First Line : P.O. 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. REBEKAH G BONDS
Credential : RN, BSN, LNHA
Telephone Number : 334-683-9696
Provider Enumeration Date : 08/31/2006
Last Update Date : 02/15/2010

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Directions to “PERRY CTY HOSPITAL ASSN ” Practice Location

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