Organization
MAIN AND ASSOCIATES INC
Active
Other names
SOUTHERN SPRINGS HEALTHCARE FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTY TANNER (ADMINISTRATOR)
(334) 738-5590
Entity
Organization
Contact information
Practice address
745 SOUTHERN SPRINGS RD, UNION SPRINGS, AL 36089-6643
(334) 738-5590
(334) 738-2460
Mailing address
745 SOUTHERN SPRINGS RD, UNION SPRINGS, AL 36089-6643
(334) 738-5590
(334) 738-2460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10469
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009812400
—
AL
01
—
010587
BLUE CROSS BLUE SHIELD
AL
05
—
4753450S
—
AL
Enumeration date
06/28/2005
Last updated
03/07/2011
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