Provider Demographics
NPI:1245343722
Name:AMERICAN HEALTH CORPORATION AND SUBSIDIARIES
Entity type:Organization
Organization Name:AMERICAN HEALTH CORPORATION AND SUBSIDIARIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE BUSINESS OFFICE MANAG
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-428-9383
Mailing Address - Street 1:PO BOX 438
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:36744-0438
Mailing Address - Country:US
Mailing Address - Phone:334-624-3054
Mailing Address - Fax:334-624-1083
Practice Address - Street 1:616 ARMORY ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:AL
Practice Address - Zip Code:36744-2110
Practice Address - Country:US
Practice Address - Phone:334-624-3054
Practice Address - Fax:334-624-1083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12547314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4752120SMedicaid
AL4752120SMedicaid