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Organization Active NPI

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

Doing business as Eliza Coffee Memorial Hosptial-IP Psych

  • Psychiatric Hospital Unit
  • Florence, AL
National Provider Identifier
1487855094
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H3902 Issued in AL
Legal business name
THE HEALTH CARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENC
Doing business as
Eliza Coffee Memorial Hosptial-IP Psych
Practice address
205 Marengo St
Florence, AL 35630-6033
Phone
(256) 768-9191
Fax
(256) 768-9775
NPI assigned
May 30, 2007
Last updated
Oct 6, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
THE HEALTH CARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H3902 AL Primary

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 1

IdentifierTypeStateIssuer
558200140MedicaidAL

Other names 1

  • Eliza Coffee Memorial Hosptial-IP Psych Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RCHP - Florence LLC17 organizations share this tax ID, including this one
Part of
RCHP - Florence LLC

Other organizations with this tax ID 16

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

View all 16

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1487855094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10005",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356312005",
            "telephone_number": "256-768-9191",
            "fax_number": "256-768-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARENGO ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306033",
            "telephone_number": "256-768-9191",
            "fax_number": "256-768-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH CARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEALTH CARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENC",
        "enumeration_date": "2007-05-30",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "PIGG",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-768-9191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AL",
            "license": "H3902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558200140",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eliza Coffee Memorial Hosptial-IP Psych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.