Provider Demographics
NPI:1669928867
Name:AMERICAN HYPERBARIC CENTER
Entity type:Organization
Organization Name:AMERICAN HYPERBARIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:MOHLER
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-210-1621
Mailing Address - Street 1:8871 RAND AVE
Mailing Address - Street 2:UNIT B
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-9138
Mailing Address - Country:US
Mailing Address - Phone:251-210-1621
Mailing Address - Fax:
Practice Address - Street 1:8871 RAND AVE
Practice Address - Street 2:UNIT B
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-9138
Practice Address - Country:US
Practice Address - Phone:251-210-1621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty