Provider Demographics
NPI:1760400535
Name:THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE
Entity Type:Organization
Organization Name:THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE
Other - Org Name:HUNTSVILLE HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC DIRECTOR PATIENT FINANCIAL SER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-801-6011
Mailing Address - Street 1:101 SIVLEY RD SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4421
Mailing Address - Country:US
Mailing Address - Phone:256-801-6012
Mailing Address - Fax:256-801-6208
Practice Address - Street 1:101 SIVLEY ROAD
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-533-8362
Practice Address - Fax:256-533-8262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALCC0206OtherRAILROAD MEDICARE
ALC849OtherBLUE CROSS BLUE SHIELD OF
AL529801000Medicaid
AL529501330Medicaid
AL000811016Medicaid