Organization
CENTRE HOSPITAL CORPORATION
Active
Other names
Cherokee Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TARA P RICHARDSON (AUTHORIZED OFFICIAL)
(615) 221-3672
Entity
Organization
Contact information
Practice address
400 NORTHWOOD DR, CENTRE, AL 35960-1023
(256) 927-5531
Mailing address
PO BOX 277503, ATLANTA, GA 30384-7503
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
012867
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010-033
BCBS
—
05
—
HOS0022H
—
AL
Enumeration date
07/23/2006
Last updated
04/25/2016
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