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Organization

CLEBURNE COUNTY HOSPITAL BOARD, INC.

Active
Other names
Cleburne County Nursing Home
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EURA HARRELL ADMINISTRATORS LICEN (ADMINISTRATOR)
(256) 463-2121
Entity
Organization

Contact information

Practice address
122 BROCKFORD RD, HEFLIN, AL 36264-7103
(256) 463-2121
(256) 463-7791
Mailing address
122 BROCKFORD RD, HEFLIN, AL 36264-7103
(256) 463-2121
(256) 463-7791

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
12503
AL
314000000X
Skilled Nursing Facility
Primary
N1501
AL
332BN1400X
Nursing Facility Supplies (DME)
N1501
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
N1501
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010547
BLUE CROSS BLUE SHIELD
AL
05
4750530S
AL
Enumeration date
10/20/2006
Last updated
10/21/2011
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