Organization
THE HEALTH CARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENC
Active
Parent organization
THE HEALTH CARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENC
Other names
Shoals Hosptial-CRNA
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HEALTH CARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENC
Authorized official
MR. JODY LEWIS PITT (CFO)
(256) 768-9191
Entity
Organization
Contact information
Practice address
201 AVALON AVE, MUSCLE SHOALS, AL 35661-2805
(256) 768-9191
(256) 768-9775
Mailing address
PO BOX 10005, FLORENCE, AL 35631-2005
(256) 768-9191
(256) 768-9775
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
H1702
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529904540
—
AL
Enumeration date
05/30/2007
Last updated
10/06/2011
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