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NPI Code Detail

MEDICARE: NOLAND HOSPITAL DOTHAN II, LLC

MEDICARE: NOLAND HOSPITAL DOTHAN II, 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
1282E00000XLong Term Care HospitalH3506AL

General Provider Information

NPI Number : 1497752281
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOLAND HOSPITAL DOTHAN II, LLC
Provider Business Mailing Address
First Line : 600 CORPORATE PKWY STE 100
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-5451
Country : US
Telephone Number : 205-783-8470
Fax Number : 205-783-8441
Provider Business Practice Location Address
First Line : 1108 ROSS CLARK CIR
Second Line : FL 4
City : DOTHAN
State : AL
Zip : 36301-3022
Country : US
Telephone Number : 334-699-4300
Fax Number : 334-699-4379
Authorized Official
Title or Position : EVP/CFO
Name : NICHOLAS V RENDA
Credential :
Telephone Number : 205-783-8460
Provider Enumeration Date : 07/07/2005
Last Update Date : 11/12/2024

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Directions to “NOLAND HOSPITAL DOTHAN II, LLC ” Practice Location

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