Cogburn Health and Rehabilitation - West, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COGBURN HEALTH AND REHABILITATION - WEST, INC.

Doing business as

Cogburn Rehab - West

Practice address

8002 Grelot Rd
Mobile, AL 36695-8976

Phone

(251) 634-8002

NPI assigned

Feb 23, 2006

Last updated

Sep 8, 2010By 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. Matthew B Kendrick

Title

Chief Financial Officer

Phone

(251) 476-4700

Specialties & licenses 1

Addresses

Other names 1

• COGBURN REHAB - WEST Doing business as

Tax ID family

Cogburn Health and Rehabilitation - West 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.

• Gulf Coast Health and Rehabilitation, LLC

  • Skilled Nursing Facility
  • Mobile, AL
  • NPI 1366880783
  NPD tax ID

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1568438240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 GRELOT RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958976",
            "telephone_number": "251-634-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 GRELOT RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958976",
            "telephone_number": "251-634-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGBURN HEALTH AND REHABILITATION - WEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "251-476-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COGBURN REHAB - WEST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wayne Poe Cockrell Jr., M.D.
• Casey Elizabeth Cockrum, M.D.
• Buford Devin Coe, ABOC,NCLE,BSHCA,MBA
• Cogburn Health & Rehabilitation-Midtown, Inc.
• Cogburn Health & Rehabilitation, Inc.
• Cogburn Health Center Inc
• Cogburn Health Center Pharmacy
• Cogburn Health Services, Inc.
• Cogburn Nursing Home Inc
• Jarrod Keith Coggin, ACNP-BC

• 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 Sep 8, 2010; 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.