Provider Demographics
NPI:1851319024
Name:THE HEALTH CARE AUTHORITY OF THE TOWN OF WEDOWEE
Entity Type:Organization
Organization Name:THE HEALTH CARE AUTHORITY OF THE TOWN OF WEDOWEE
Other - Org Name:WEDOWEE HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXAMDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-357-2111
Mailing Address - Street 1:209 MAIN ST S
Mailing Address - Street 2:
Mailing Address - City:WEDOWEE
Mailing Address - State:AL
Mailing Address - Zip Code:36278-5139
Mailing Address - Country:US
Mailing Address - Phone:256-357-2111
Mailing Address - Fax:256-357-2089
Practice Address - Street 1:209 MAIN ST S
Practice Address - Street 2:
Practice Address - City:WEDOWEE
Practice Address - State:AL
Practice Address - Zip Code:36278-5139
Practice Address - Country:US
Practice Address - Phone:256-357-2111
Practice Address - Fax:256-357-2089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11865275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01U032Medicare Oscar/Certification