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Organization
SYLACAUGA HEALTH CARE AUTHORITY
Active
Organization
SYLACAUGA HEALTH CARE AUTHORITY
Active
Parent organization
SYLACAUGA HEALTH CARE AUTHORITY
Other names
CVMC Anesthesia
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYLACAUGA HEALTH CARE AUTHORITY
Authorized official
ROLAND LEE THACKER (CHIEF FINANCIAL OFFICER)
(256) 401-4534
Entity
Organization
Contact information
Practice address
315 W HICKORY ST, SYLACAUGA, AL 35150-2913
(256) 401-4534
(256) 401-4603
Mailing address
315 W HICKORY ST, SYLACAUGA, AL 35150-2913
(256) 401-4534
(256) 401-4603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H6102
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H6102
HOSPITAL LICENSE
AL
05
—
HOS0164H
—
AL
Enumeration date
07/26/2018
Last updated
07/26/2018
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