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NPI Code Detail

MEDICARE: CONTINUITY HEALTHCARE INC

MEDICARE: CONTINUITY HEALTHCARE INC
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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1417913948
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONTINUITY HEALTHCARE INC
Provider Business Mailing Address
First Line : 4212 CARMICHAEL CT N
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-3621
Country : US
Telephone Number : 334-213-8803
Fax Number : 334-213-8815
Provider Business Practice Location Address
First Line : 4212 CARMICHAEL CT N
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-3621
Country : US
Telephone Number : 334-213-8803
Fax Number : 334-213-8815
Authorized Official
Title or Position : CEO
Name : PHILLIP A SISK
Credential :
Telephone Number : 334-213-8804
Provider Enumeration Date : 04/24/2006
Last Update Date : 12/03/2009

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Directions to “CONTINUITY HEALTHCARE INC ” Practice Location

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