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Organization

JEFFERSON COUNTY COMMISSION

Active
Other names
JEFFERSON REHAB. & HEALTH CTR.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DERRICK WILLIAMS LNHA (DIRECTOR)
(205) 849-2352
Entity
Organization

Contact information

Practice address
200 N PINE HILL RD, BIRMINGHAM, AL 35217-1215
(205) 849-2352
(205) 849-2371
Mailing address
200 N PINE HILL RD, BIRMINGHAM, AL 35217-1215
(205) 849-2352
(205) 849-2371

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11181
AL
332BN1400X
Nursing Facility Supplies (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010-517
BLUE CROSS BLUE SHIELD
AL
05
4753490S
AL
01
63 6002579
HM BENEFITS ADMINISTRATORS, INC. (USA CORP.)
AL
01
71-10036
UNITED HEALTHCARE
AL
Enumeration date
10/21/2005
Last updated
10/17/2008
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