Organization
TOMBIGBEE HEALTHCARE AUTHORITY
Active
Other names
HEALTHSTART 7
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D MARSHALL (CEO ADMINISTRATOR)
(334) 287-2500
Entity
Organization
Contact information
Practice address
105 US HIGHWAY 80 E, DEMOPOLIS, AL 36732-3605
(334) 289-4000
(334) 287-2594
Mailing address
PO BOX 890, DEMOPOLIS, AL 36732-0890
(334) 289-4000
(334) 287-2594
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
H4601
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580500007
—
AL
Enumeration date
12/14/2006
Last updated
03/14/2008
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