Organization Active NPI

Cogburn Health Services, Inc.

  • Skilled Nursing Facility
  • Mobile, AL
National Provider Identifier
1992868087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COGBURN HEALTH SERVICES, INC.
Practice address
2651 Cameron St
Mobile, AL 36607-3127
Phone
(251) 476-4700
Fax
(251) 476-7124
NPI assigned
Dec 19, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. William L Roberts
Title
President
Phone
(251) 476-4700

National Provider Directory

National Provider Directory
Tax ID family
Cogburn Health Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2651 Cameron St
Mobile, AL 36607-3127

Mailing address

2651 Cameron St
Mobile, AL 36607-3127
Phone (251) 476-4700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992868087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 CAMERON ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073127",
            "telephone_number": "251-476-4700",
            "fax_number": "251-476-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 CAMERON ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073127",
            "telephone_number": "251-476-4700",
            "fax_number": "251-476-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGBURN HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "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": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.