Provider Demographics
NPI:1467855445
Name:CLAY COUNTY HEALTHCARE AUTHORITY
Entity Type:Organization
Organization Name:CLAY COUNTY HEALTHCARE AUTHORITY
Other - Org Name:CLAY COUNTY HOSPITAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-354-2131
Mailing Address - Street 1:PO BOX 1303
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:AL
Mailing Address - Zip Code:36251-1303
Mailing Address - Country:US
Mailing Address - Phone:256-354-1257
Mailing Address - Fax:256-354-1294
Practice Address - Street 1:83825 HIGHWAY 9 STE C
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:AL
Practice Address - Zip Code:36251-7981
Practice Address - Country:US
Practice Address - Phone:256-354-1258
Practice Address - Fax:256-354-1185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-03
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical