Organization Name: | ESCAMBIA COUNTY HEALTH CARE AUTHORITY |
NPI Number: | 1306101639 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS B GRIFFIN (CEO) |
Mailing Address: | 1023 Douglas Ave Suite 322 Brewton |
State: | AL US |
Postal Code: | 364261586 |
Phone Number: | 2518672797 |
Fax Number: | 2518672799 |
NPI Enumeration Date: | 07/12/2012 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 900803 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |