Organization
THE HEALTH CARE AUTHORITY OF ELBA ALABAMA
Active
Other names
Elba General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS NOLAND MHA, FACHE (CHIEF EXECUTIVE OFFICER)
(334) 897-2257
Entity
Organization
Contact information
Practice address
987 DRAYTON AVE, ELBA, AL 36323-1402
(334) 897-2257
(334) 897-1213
Mailing address
987 DRAYTON AVE, ELBA, AL 36323-1402
(334) 897-2257
(334) 897-1213
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
10328
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143
BLUE CROSS BLUE SHIELD
AL
05
—
HOS0027H
—
AL
Enumeration date
12/22/2005
Last updated
04/05/2012
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