1518417195 NPI number — GULF HEALTH HOSPITALS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518417195 NPI number — GULF HEALTH HOSPITALS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GULF HEALTH HOSPITALS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518417195
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/10/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1468
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DAPHNE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36526-1468
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-279-2255
Provider Business Mailing Address Fax Number:
251-279-2244

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
750 MORPHY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAIRHOPE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36532-1812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-279-2255
Provider Business Practice Location Address Fax Number:
251-279-2244
Provider Enumeration Date:
10/07/2016

Additional Information

Authorized Official

Authorized Official Last Name:
NIX
Authorized Official First Name:
DOUGLAS
Authorized Official Middle Name:
MARK
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
251-625-8454

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 114667 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 195994 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2164548 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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