Organization
HATLEY HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RICHIE SCOGGINS (ADMINISTRATOR)
(205) 755-4960
Entity
Organization
Contact information
Practice address
300 MEDICAL CENTER DR, CLANTON, AL 35045-2321
(205) 755-4960
(205) 755-2455
Mailing address
300 MEDICAL CENTER DR, CLANTON, AL 35045-2321
(205) 755-4960
(205) 755-2455
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12497
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010523
BLUE CROSS PROVIDER NO
AL
05
—
4757430S
—
AL
Enumeration date
10/04/2006
Last updated
03/31/2008
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