Provider Demographics
NPI:1245855261
Name:HEALTHCARE CONNECTIONS COMMUNITY HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:HEALTHCARE CONNECTIONS COMMUNITY HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMKESHIA
Authorized Official - Middle Name:NESHELL
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, ANP-BC
Authorized Official - Phone:205-604-9027
Mailing Address - Street 1:212 WOODLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:AL
Mailing Address - Zip Code:36904-2738
Mailing Address - Country:US
Mailing Address - Phone:205-604-9027
Mailing Address - Fax:
Practice Address - Street 1:212 WOODLEY AVE
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:AL
Practice Address - Zip Code:36904-2738
Practice Address - Country:US
Practice Address - Phone:205-604-9027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service