MEDICARE: WALKER BAPTIST MEDICAL CENTER HOME HEALTH

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1528050176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALKER BAPTIST MEDICAL CENTER HOME HEALTH

Provider Business Mailing Address
First Line	:	3400 HIGHWAY 78 E
Second Line	:
City	:	JASPER
State	:	AL
Zip	:	35501-8956
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 HIGHWAY 78 E
Second Line	:
City	:	JASPER
State	:	AL
Zip	:	35501-8956
Country	:	US
Telephone Number	:	205-387-4880
Fax Number	:	205-387-4888

Authorized Official
Title or Position	:	CLINICAL MANAGER
Name	:	CATHY GURGANUS
Credential	:
Telephone Number	:	205-387-4880

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	08/22/2020

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