Provider Demographics
NPI:1376714287
Name:HUNTSVILLE HOSPITAL BEST START PROGRAM
Entity Type:Organization
Organization Name:HUNTSVILLE HOSPITAL BEST START PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-265-7296
Mailing Address - Street 1:120 GOVERNORS DRIVE SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4320
Mailing Address - Country:US
Mailing Address - Phone:256-265-7440
Mailing Address - Fax:
Practice Address - Street 1:120 GOVERNORS DRIVE SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4320
Practice Address - Country:US
Practice Address - Phone:256-265-7440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHCARE AUTHORITY OF HUNTSVILLE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, AmbulatoryGroup - Single Specialty