Provider Demographics
NPI:1982701389
Name:HILL HOSPITAL HOME HEALTH
Entity Type:Organization
Organization Name:HILL HOSPITAL HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-392-5455
Mailing Address - Street 1:751 DERBY DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:AL
Mailing Address - Zip Code:36925-2121
Mailing Address - Country:US
Mailing Address - Phone:205-392-5455
Mailing Address - Fax:205-392-4967
Practice Address - Street 1:751 DERBY DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:AL
Practice Address - Zip Code:36925-2121
Practice Address - Country:US
Practice Address - Phone:205-392-5455
Practice Address - Fax:205-392-4967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51042999OtherBCBS
ALHIL7101AMedicaid
AL010754OtherBCBS
AL010754OtherBCBS