Provider Demographics
NPI:1609505916
Name:ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS INC
Entity Type:Organization
Organization Name:ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS INC
Other - Org Name:ACH SPECIALTY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:S
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-282-0981
Mailing Address - Street 1:PO BOX 11407 DEPT# 8332
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-8332
Mailing Address - Country:US
Mailing Address - Phone:251-368-6245
Mailing Address - Fax:
Practice Address - Street 1:406 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:251-368-6878
Practice Address - Fax:251-368-4551
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-10
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty