| Organization Name: | CRESTWOOD HEALTHCARE LP |
| NPI Number: | 1023061496 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURIE HOLTSFORD (DIRECTOR, BUSINESS OFFICE SERVICES) |
| Mailing Address: | 1 Hospital Dr Sw Huntsville |
| State: | AL US |
| Postal Code: | 358016455 |
| Phone Number: | 2568823100 |
| Fax Number: | 2568804246 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 02/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QL0400X |
| License Number: | H4501 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Lithotripsy |
| Taxonomy Definition: | |