Organization
THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH AN AFFILIATE OF UABHS
Active
Other names
Prattville Baptist Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE BRUTON (INTERIM CHIEF FINANCIAL OFFICER)
(334) 747-4258
Entity
Organization
Contact information
Practice address
124 S MEMORIAL DR, PRATTVILLE, AL 36067-3619
(334) 361-4267
(334) 361-3131
Mailing address
PO BOX 241145, MONTGOMERY, AL 36124-1145
(334) 747-4307
(334) 747-4172
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11760
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01672862
MS MEDICAID
MS
01
—
030
BLUE CROSS BLUE SHIELD
AL
01
—
1708437
LA MEDICAID
LA
05
—
HOS01088
—
AL
Enumeration date
09/28/2006
Last updated
01/20/2023
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