Provider Demographics
NPI:1275587073
Name:THE DCH HEALTH CARE AUTHORITY
Entity Type:Organization
Organization Name:THE DCH HEALTH CARE AUTHORITY
Other - Org Name:DCH HOME HEALTH CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PATIENT ACCOUNTS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KERI
Authorized Official - Middle Name:H
Authorized Official - Last Name:HINDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-759-7378
Mailing Address - Street 1:1110 DR EDWARD HILLARD DR
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-7446
Mailing Address - Country:US
Mailing Address - Phone:205-759-7010
Mailing Address - Fax:205-330-3147
Practice Address - Street 1:1110 DR EDWARD HILLARD DR
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-7446
Practice Address - Country:US
Practice Address - Phone:205-759-7010
Practice Address - Fax:205-330-3147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000042376Medicaid
AL51010100000447OtherBLUE CROSS FEDERAL NASCO
AL51042376OtherBLUE CROSS BLUE SHIELD
AL51505865OtherBLUE CROSS SHIELD O.T.
AL51094872OtherBC BS PHYSICAL THERAPY
AL370729OtherBLACK LUNG
ALDCH7080AMedicaid
AL51010100000447OtherBLUE CROSS FEDERAL NASCO
AL017080Medicare Oscar/Certification