Organization
EASTERN HEALTH SYSTEMS INC
Active
Parent organization
EASTERN HEALTH SYSTEMS, INC
Other names
Medical Center Blount Emergency Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERN HEALTH SYSTEMS, INC
Authorized official
BRANDON WILLIAMS (CFO)
(205) 274-3001
Entity
Organization
Contact information
Practice address
150 GILBREATH DR, ONEONTA, AL 35121-2827
(205) 264-9098
(205) 437-5998
Mailing address
PO BOX 11407 LOCKBOX 1066, BIRMINGHAM, AL 35246-0001
(205) 437-6098
(205) 437-5998
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020477400
DEPT OF LABOR (OWCP)
AL
01
—
20477400
BLACK LUNG - DPT OF LABOR
AL
01
—
3901711
UNITED HEALTHCARE OF AL
AL
05
—
529919550
—
AL
01
—
CH1298
RAILROAD MEDICARE GROUP
AL
01
—
F858
BCBS GROUP NUMBER
AL
Enumeration date
09/29/2005
Last updated
09/06/2017
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