Organization
COMMUNITY HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BELINDA JEAN DAVIS (PRESIDENT)
(256) 247-7094
Entity
Organization
Contact information
Practice address
16422 HIGHWAY 72, ROGERSVILLE, AL 35652-8117
(256) 247-7094
(256) 247-5261
Mailing address
16422 HIGHWAY 72, P O BOX 426, ROGERSVILLE, AL 35652-8117
(256) 247-7094
(256) 247-5261
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
78032
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933286
—
AL
01
—
3127187
BLUE CROSS TN PROV #
TN
01
—
51001161
BLUE CROSS PROVIDER #
AL
Enumeration date
07/15/2006
Last updated
04/06/2012
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