Organization
EPISCOPAL FOUNDATION OF JEFFERSON COUNTY ST. MARTIN'S IN THE PINES
Active
Other names
St. Martin's in the Pines
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE FAULKNER (CFO)
(205) 314-4139
Entity
Organization
Contact information
Practice address
4941 MONTEVALLO RD, BIRMINGHAM, AL 35210-2418
(205) 956-1831
Mailing address
4941 MONTEVALLO RD, BIRMINGHAM, AL 35210-2418
(205) 956-1831
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10566
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015433
MEDICARE PROVIDER #
—
05
—
4758000S
—
AL
Enumeration date
06/16/2005
Last updated
09/14/2015
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