Organization Name: | WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC |
NPI Number: | 1437330438 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALYSON W OVERSTREET (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 14634 St Stephens Ave Chatom |
State: | AL US |
Postal Code: | 36518 |
Phone Number: | 2518472223 |
Fax Number: | 2518473808 |
NPI Enumeration Date: | 11/19/2007 |
NPI Last Update Date: | 11/21/2014 |
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: |