The Health Care Authority of Lauderdale County and the City of Florenc

Organization Active NPI Internal Medicine Physician · Florence, AL

NPI 1023219631 · NPPES record last updated Oct 6, 2011

Key facts

NPI
1023219631
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
H3902 (AL)
Legal business name
THE HEALTH CARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENC
Practice address
205 Marengo St
Florence, AL 35630-6033
Phone
(256) 768-9191
Fax
(256) 768-9775
NPI assigned
May 30, 2007
Organization subpart
Yes
Parent organization (as reported)
THE HEALTH CARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENC

Authorized official

Name
Mr. Jody Lewis Pigg
Title
Cfo
Phone
(256) 768-9191

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
RCHP - Florence LLC (17 organizations share this tax ID)
Part of
RCHP - Florence LLC

Locations

541 W College St
Ste 3000
Florence, AL 35630
Phone (256) 764-2482

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X H3902 AL Yes

Addresses

Primary practice location

205 Marengo St
Florence, AL 35630-6033

Mailing address

PO Box 10005
Florence, AL 35631-2005
Phone (256) 768-9191

Other identifiers

IdentifierTypeStateIssuer
558200140MedicaidAL

Other names

  • Eliza Coffee Memorial Hospital-Hospitalist Doing business as

Other providers in Florence, AL

All providers in Florence, AL · Internal Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.