Organization
ROANOKE HEALTHCARE AUTHORITY
Active
Other names
RANDOLPH MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON DIXON (ADMINISTRATOR/CEO)
(334) 863-4111
Entity
Organization
Contact information
Practice address
59928 HIGHWAY 22, ROANOKE, AL 36274-2410
(334) 863-4111
(334) 863-5427
Mailing address
PO BOX 670, ROANOKE, AL 36274-0670
(334) 863-4111
(334) 863-5427
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
H5601
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01045
BCBS OF AL
AL
05
—
HOS0098H
—
AL
05
—
HOS1303H
—
AL
Enumeration date
05/02/2006
Last updated
02/09/2011
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