Organization
CRESTWOOD HEALTHCARE LP
Active
Other names
Crestwood Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR)
(629) 215-3953
Entity
Organization
Contact information
Practice address
1 HOSPITAL DR SW, HUNTSVILLE, AL 35801-6455
(256) 882-3100
(256) 880-4246
Mailing address
PO BOX 849007, DALLAS, TX 75284-9007
(256) 882-3100
(256) 880-4246
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QL0400X
Lithotripsy Clinic/Center
H4501
AL
282N00000X
General Acute Care Hospital
Primary
H4501
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HOS010131H
—
AL
Enumeration date
05/18/2006
Last updated
05/30/2023
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