Provider Demographics
NPI:1659510931
Name:ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC.
Entity type:Organization
Organization Name:ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-368-6362
Mailing Address - Street 1:402 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36502-3004
Mailing Address - Country:US
Mailing Address - Phone:251-368-7974
Mailing Address - Fax:251-368-5973
Practice Address - Street 1:402 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-3004
Practice Address - Country:US
Practice Address - Phone:251-368-7974
Practice Address - Fax:251-368-5973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty