Provider Demographics
NPI:1336683135
Name:HECA, LLC
Entity Type:Organization
Organization Name:HECA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-533-6488
Mailing Address - Street 1:2007 GALLATIN ST SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4561
Mailing Address - Country:US
Mailing Address - Phone:256-533-6488
Mailing Address - Fax:256-534-7372
Practice Address - Street 1:119 LONGWOOD DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4522
Practice Address - Country:US
Practice Address - Phone:256-533-6488
Practice Address - Fax:256-534-7372
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HUNTSVILLE ENDOSCOPY CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty