Organization
PROFESSIONAL RESOURCES MANAGEMENT, INC.
Active
Other names
Bullock County Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUES JARRY (CEO)
(334) 738-2140
Entity
Organization
Contact information
Practice address
102 CONECUH AVE W, UNION SPRINGS, AL 36089-1303
(334) 738-2140
(334) 738-1496
Mailing address
102 CONECUH AVE W, UNION SPRINGS, AL 36089-1303
(334) 738-2140
(334) 738-1496
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
11768
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010107
BCBS
AL
01
—
01U110
MEDICARE SWING BED
AL
01
—
C860
MEDICARE PHYSICIAN GROUP
AL
01
—
CA5051
RAILROAD MEDICARE
—
05
—
HOS0110H
—
AL
Enumeration date
08/23/2006
Last updated
02/24/2017
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