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Organization

ESCAMBIA COUNTY HEALTH CARE AUTHORITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIS B GRIFFIN (CEO)
(251) 867-8061
Entity
Organization

Contact information

Practice address
1108 DOUGLAS AVE, BREWTON, AL 36426-1579
(251) 867-2797
(251) 867-2799
Mailing address
1108 DOUGLAS AVE, BREWTON, AL 36426-1579
(251) 867-2797
(251) 867-2799

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
332BX2000X
Oxygen Equipment & Supplies (DME)
900803
AL

Other

Enumeration date
07/12/2012
Last updated
12/20/2017
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