MEDICARE: SUMTER 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
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010589	OTHER	AL	BCBS ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497702260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMTER HEALTH AND REHABILITATION, LLC

Provider Business Mailing Address
First Line	:	1505 E 4TH AVE
Second Line	:
City	:	YORK
State	:	AL
Zip	:	36925-2940
Country	:	US
Telephone Number	:	205-392-5281
Fax Number	:

Provider Business Practice Location Address
First Line	:	1505 E 4TH AVE
Second Line	:
City	:	YORK
State	:	AL
Zip	:	36925-2940
Country	:	US
Telephone Number	:	205-392-5281
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	PHILLIP CODY LONG
Credential	:
Telephone Number	:	205-391-3600

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	10/12/2020

Similar Medicare Providers

1083265383 — MRS. ANDREA LAKOLE POPE NP-C
Practice Location Address:

1505 E 4TH AVE
YORK, AL
36925-2940

Practice Phone: 205-343-7300
Practice Fax:

1154146249 — JANICE RAMSEY CRNP
Practice Location Address:

1505 E 4TH AVE
YORK, AL
36925-2940

Practice Phone: 205-343-7300
Practice Fax: 205-343-7306

1730772468 — GERARDO MARCANO
Practice Location Address:

302 W 148TH ST APT 5B
NEW YORK, NY
10039-2940

Practice Phone: 845-800-5057
Practice Fax:

1144934290 — ROKHAYA SARR
Practice Location Address:

58 E 132ND ST APT 7F
NEW YORK, NY
10037-2940

Practice Phone: 347-207-1008
Practice Fax:

1497797062 — THE DRUG STORE CO INC
Practice Location Address:

583 4TH AVE
YORK, AL
36925-2008

Practice Phone: 205-392-5201
Practice Fax: 205-392-7006

1013943273 — YORK DRUG INC
Practice Location Address:

400 COUNTRY CLUB RD
YORK, AL
36925-2027

Practice Phone: 205-392-5201
Practice Fax: 205-392-5636

Directions to “SUMTER HEALTH AND REHABILITATION, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.