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NPI Code Detail

MEDICARE: CAPITOL HILL HEALTHCARE CENTER, INC

MEDICARE: CAPITOL HILL HEALTHCARE CENTER, 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
1314000000XSkilled Nursing Facility08387AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010630OTHERALBC/BS OF AL
27100049OTHERALUNITED HEALTHCARE
3012392OTHERALBC/BS OF AL
40431541OTHERALHEALTHSPRINGS OF AL
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942207113
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPITOL HILL HEALTHCARE CENTER, INC
Provider Business Mailing Address
First Line : 520 S HULL ST
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-4610
Country : US
Telephone Number : 334-834-2920
Fax Number : 334-834-1145
Provider Business Practice Location Address
First Line : 520 S HULL ST
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-4610
Country : US
Telephone Number : 334-834-2920
Fax Number : 334-834-1145
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. EMILY WALLS
Credential : RN, NHA
Telephone Number : 334-265-3900
Provider Enumeration Date : 07/04/2005
Last Update Date : 02/01/2022

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1144677824 — MS. LEIGH ANNE LUNA N.P.
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1043840804 — JACQUELINE MARIE RANSAW
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36104-4610
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Practice Fax: 334-834-1145

Directions to “CAPITOL HILL HEALTHCARE CENTER, INC ” Practice Location

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