1538166343 NPI number — NOLAND HOSPITAL ANNISTON II, LLC

Table of content: (NPI 1538166343)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538166343 NPI number — NOLAND HOSPITAL ANNISTON II, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NOLAND HOSPITAL ANNISTON II, LLC
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:
1538166343
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 CORPORATE PKWY STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35242-5451
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-783-8444
Provider Business Mailing Address Fax Number:
205-783-8441

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 EAST 10TH STREET
Provider Second Line Business Practice Location Address:
FL OOR 4TH
Provider Business Practice Location Address City Name:
ANNISTON
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36207-4716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-741-6141
Provider Business Practice Location Address Fax Number:
256-741-6158
Provider Enumeration Date:
07/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
RENDA
Authorized Official First Name:
NICHOLAS
Authorized Official Middle Name:
V
Authorized Official Title or Position:
EVP/CFO
Authorized Official Telephone Number:
205-783-8460

Provider Taxonomy Codes

  • Taxonomy code: 282E00000X , with the licence number:  H0805 , 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)





Copyright © 2007-2025 www.npivalidator.com