Provider Demographics
NPI:1437160157
Name:INFIRMARY HEALTH HOSPITALS, INC.
Entity Type:Organization
Organization Name:INFIRMARY HEALTH HOSPITALS, INC.
Other - Org Name:INFIRMARY LTAC HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:DENTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-435-2011
Mailing Address - Street 1:5600 GIRBY RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3320
Mailing Address - Country:US
Mailing Address - Phone:251-660-5590
Mailing Address - Fax:
Practice Address - Street 1:5600 GIRBY RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-3320
Practice Address - Country:US
Practice Address - Phone:251-660-5590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11851282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL=========OtherTAX ID
AL=========OtherTAX ID