Cogburn Health & Rehabilitation-Midtown, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

016981 Issued in AL

Legal business name

COGBURN HEALTH & REHABILITATION-MIDTOWN, INC.

Practice address

3104 Dauphin SQ Connector
Mobile, AL 36607-2513

Phone

(251) 450-2800

Fax

(251) 476-7124

NPI assigned

Oct 25, 2005

Last updated

Aug 26, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Prentiss Smith

Title

Chief Operating Officer

Phone

(251) 476-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cogburn Nursing Center-Midtown Former legal business name

Tax ID family

Cogburn Health Rehabilitation-Midtown Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Palm Gardens Health and Rehabilitation, LLC

  • Skilled Nursing Facility
  • Mobile, AL
  • NPI 1972941391
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1396735965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 CAMERON ST STE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073127",
            "telephone_number": "251-450-2800",
            "fax_number": "251-476-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 DAUPHIN SQ CONNECTOR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072513",
            "telephone_number": "251-450-2800",
            "fax_number": "251-476-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGBURN HEALTH & REHABILITATION-MIDTOWN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PRENTISS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "251-476-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "016981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "016981",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cogburn Nursing Center-Midtown",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kevin M Cockrell, DDS
• Tyler Cockrell
• Wayne Poe Cockrell Jr., M.D.
• Casey Elizabeth Cockrum, M.D.
• Buford Devin Coe, ABOC,NCLE,BSHCA,MBA
• Cogburn Health & Rehabilitation, Inc.
• Cogburn Health and Rehabilitation - West, Inc. (Cogburn Rehab - West)
• Cogburn Health Center Inc
• Cogburn Health Center Pharmacy
• Cogburn Health Services, Inc.

• Skilled Nursing Facility in Mobile, AL
• Providers in Mobile, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.