# RANDOLPH HEALTH CARE AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174690283
- **Authorized official:** MR. GERALD MCCORD (INTERIUM ADMINISTRATOR)
- **Authorized official phone:** (334) 863-4111

## Contact information

- **Practice address:** 59928 HIGHWAY 22, ROANOKE, AL 36274-2410
- **Practice address phone:** (334) 863-4111
- **Practice address fax:** (334) 863-5427
- **Mailing address:** PO BOX 670, ROANOKE, AL 36274-0670
- **Mailing address phone:** (334) 863-4111
- **Mailing address fax:** (334) 863-5427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | AL | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 08/22/2020
