Organization
HUNTSVILLE HOSPITAL ANESTHESIA
Active
Parent organization
THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE
Authorized official
KELLIE S POWERS (CFO)
(256) 265-8818
Entity
Organization
Contact information
Practice address
245 GOVERNORS DRIVE SE, HUNTSVILLE, AL 35801-3784
(256) 265-8120
(256) 265-8969
Mailing address
PO BOX 11407 DEPT 2290, BIRMINGHAM, AL 35246-2290
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529922920
—
AL
01
—
DD0971
RAILROAD MEDICARE GROUP #
AL
Enumeration date
07/04/2006
Last updated
03/22/2017
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