Organization
THE SYLACAUGA HEALTH CARE AUTHORITY INC
Active
Other names
Coosa Valley Medical Center Senior Behavioral Health Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN SISK (CEO)
(256) 401-4604
Entity
Organization
Contact information
Practice address
315 W HICKORY ST, SYLACAUGA, AL 35150-2913
(256) 401-4000
(256) 401-4603
Mailing address
315 W HICKORY ST, SYLACAUGA, AL 35150-2913
(256) 401-4000
(256) 401-4603
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
H6102
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01S164
MEDICARE PROVIDER NUMBER
AL
Enumeration date
09/25/2008
Last updated
04/27/2023
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