Provider Demographics
NPI:1548589955
Name:ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC.
Entity Type:Organization
Organization Name:ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC.
Other - Org Name:H. DAVID BRANNON, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-368-2500
Mailing Address - Street 1:408 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36502-3016
Mailing Address - Country:US
Mailing Address - Phone:251-268-6238
Mailing Address - Fax:
Practice Address - Street 1:408 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-3016
Practice Address - Country:US
Practice Address - Phone:251-268-6238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty