Organization
CRENSHAW COUNTY HEALTH CARE AUTHORITY
Active
Other names
The Hospital Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANDREW KIMBRO (CHAIRMAN)
(334) 335-3374
Entity
Organization
Contact information
Practice address
101 HOSPITAL CIR, LUVERNE, AL 36049-7329
(334) 335-1209
(334) 335-1208
Mailing address
101 HOSPITAL CIR, LUVERNE, AL 36049-7329
(334) 335-1209
(334) 335-1208
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-14885
BC PROVIDER NUMBER
AL
05
—
THE7140A
—
AL
Enumeration date
10/05/2006
Last updated
07/20/2020
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