Provider Demographics
NPI:1689623514
Name:THE DCH HEALTH CARE AUTHORITY
Entity Type:Organization
Organization Name:THE DCH HEALTH CARE AUTHORITY
Other - Org Name:DCH HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PATIENT ACCOUNTS DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KERI
Authorized Official - Middle Name:H
Authorized Official - Last Name:HINDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-759-7378
Mailing Address - Street 1:809 UNIVERSITY BLVD E
Mailing Address - Street 2:ATTENTION: DCH HOME MEDICAL EQUIPMENT
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-2029
Mailing Address - Country:US
Mailing Address - Phone:205-330-3177
Mailing Address - Fax:205-330-3198
Practice Address - Street 1:809 UNIVERSITY BLVD E
Practice Address - Street 2:ATTENTION: DCH HOME MEDICAL EQUIPMENT
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-2029
Practice Address - Country:US
Practice Address - Phone:205-330-3177
Practice Address - Fax:205-330-3198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51505865OtherBLUE CROSS BLUE SHIELD
AL51521188OtherBLUE CROSS SHIELD ALABAMA
AL510447OtherBLUE CROSS BLUE SHIELD
AL000042376Medicaid
AL51005865OtherBLUE CROSS BLUE SHIELD
AL51521188OtherBLUE CROSS SHIELD ALABAMA