The Health Care Authority of Lauderdale County and the City of Florenc
Organization Active NPI General Acute Care Hospital · Florence, AL
NPI 1477539971 · NPPES record last updated Oct 6, 2011
Key facts
- NPI
- 1477539971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 10374 (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
- Dec 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Jody Lewis Pigg
- Title
- Cfo/ Ceo
- Phone
- (256) 768-9191
Other NPIs on the same Medicare enrollment 24
Subparts reporting this organization as parent 15
Corporate family (same tax ID) 16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101005000372 | AL | Part B Supplier - Clinic/Group Practice | 8123151354 |
Receives reassigned benefits from 42 practitioners 24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Muscle Shoals, AL; Florence, AL |
National Provider Directory
- Tax ID family
- RCHP - Florence LLC
Locations
205 Marengo St
#4578
Florence, AL 35630
Phone (205) 551-7200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 10374 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HOS0006H | Medicaid | AL |
Other names
- Eliza Coffee Memorial Hospital
Other providers in Florence, AL
- The Health Care Authority of Lauderdale County & the City of Florence
- The Health Care Authority of Lauderdale County & the City of Florence
- The Health Care Authority of Lauderdale County and the City of Florenc
- The Health Care Authority of Lauderdale County and the City of Florenc
- The Health Care Authority of Lauderdale County and the City of Florenc
- The Health Care Authority of Lauderdale County and the City of Florenc
- The Health Care Authority of Lauderdale County and the City of Florenc
- The Health Care Authority of Lauderdale County and the City of Florenc
- The Health Care Authority of Lauderdale County and the City of Florenc
- The Healthcare Authority of Lauderdale County and the City of Florence
All providers in Florence, AL · General Acute Care Hospital in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.