Provider Demographics
NPI:1235196445
Name:AMERICAN HEALTH CORPORATION AND SUBSIDIARIES
Entity Type:Organization
Organization Name:AMERICAN HEALTH CORPORATION AND SUBSIDIARIES
Other - Org Name:OAK TRACE CARE & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-716-7338
Mailing Address - Street 1:325 SELMA RD
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35020-2417
Mailing Address - Country:US
Mailing Address - Phone:205-428-9383
Mailing Address - Fax:205-428-7277
Practice Address - Street 1:325 SELMA RD
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35020
Practice Address - Country:US
Practice Address - Phone:205-428-9383
Practice Address - Fax:205-428-7277
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN HEALTH CORPORATION AND SUBSIDIARIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-01
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4750500SMedicaid
015050OtherOSCAR