Provider Demographics
NPI:1851362073
Name:NATIONAL HEALTHCARE OF HARTSELLE INC
Entity Type:Organization
Organization Name:NATIONAL HEALTHCARE OF HARTSELLE INC
Other - Org Name:HARTSELLE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:S
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:COFFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-764-3009
Mailing Address - Street 1:501 CORPORATE CENTRE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2662
Mailing Address - Country:US
Mailing Address - Phone:615-764-3009
Mailing Address - Fax:615-764-3030
Practice Address - Street 1:201 PINE ST NW
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-2309
Practice Address - Country:US
Practice Address - Phone:256-773-6511
Practice Address - Fax:256-773-4010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-27
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10400282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALHOS0009HMedicaid
05287OtherBC MI
01HMCHOtherUNITED HEALTHCARE
010-089OtherBCBS
6120480OtherAETNA
6120480OtherAETNA
05287OtherBC MI