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Contact Information

CLEBURNE COUNTY HOSPITAL BOARD, INC.
122 BROCKFORD RD
HEFLIN, AL36264-7103
 Phone: 256-463-2121
 Fax: 256-463-7791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CLEBURNE COUNTY HOSPITAL BOARD, INC.

NPI Number 1033292511
LBN Legal business name CLEBURNE COUNTY HOSPITAL BOARD, INC.
Authorized official EURA HARRELL - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 10/21/2011 - About 15 years ago
Identifiers
AL License # 12503
AL License # N1501
AL Medicaid 4750530S
AL Other 010547 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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