| Organization Name: | BHC-MEDSTAT OF JASPER |
| NPI Number: | 1013115294 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT PRINGLE RAMSEY (INTERIM PRESIDENT) |
| Mailing Address: | 3400 Highway 78 E Medical Arts Tower; Suite 109 Jasper |
| State: | AL US |
| Postal Code: | 355018907 |
| Phone Number: | 2053871891 |
| Fax Number: | 2053878227 |
| NPI Enumeration Date: | 07/10/2007 |
| NPI Last Update Date: | 05/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |