Organization
CLANTON HOSPITAL LLC
Active
Other names
Chilton Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROB FOLLOWELL (CHIEF EXECUTIVE OFFICER)
(205) 755-2500
Entity
Organization
Contact information
Practice address
1010 LAY DAM RD, CLANTON, AL 35045-2306
(205) 755-2500
(205) 280-3569
Mailing address
PO BOX 2220, CLANTON, AL 35046-2220
(205) 755-2500
(205) 280-3569
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11777
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010118
BCBS PROVIDER #
AL
05
—
HOS0043H
—
AL
Enumeration date
07/31/2006
Last updated
07/12/2007
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