Provider Demographics
NPI:1841261856
Name:NATIONAL HEALTHCARE OF HARTSELLE INC
Entity type:Organization
Organization Name:NATIONAL HEALTHCARE OF HARTSELLE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO, DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:SLIPKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-764-3000
Mailing Address - Street 1:501 CORPORATE CENTRE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2659
Mailing Address - Country:US
Mailing Address - Phone:615-764-3000
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?:Yes
Parent Organization LBN:NATIONAL HEALTHCARE OF HARTSELLE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-28
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10400273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01S009Medicare Oscar/Certification