Provider Demographics
NPI:1124073879
Name:ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC
Entity type:Organization
Organization Name:ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-368-6362
Mailing Address - Street 1:401 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36502-3006
Mailing Address - Country:US
Mailing Address - Phone:251-368-6362
Mailing Address - Fax:
Practice Address - Street 1:401 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-3006
Practice Address - Country:US
Practice Address - Phone:251-368-6362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL500002OtherUNITED HEALTH CARE
FL5006840OtherUNITED HEALTH CARE
AL10233400Medicaid
AL10572OtherVISTA
ALBH3OtherHEALTH OPTIONS
ALHOS0053HOtherALACAID
AL132OtherPRIME HEALTH OF AL
011301Medicare Oscar/Certification
AL10572OtherVISTA
ALBH3OtherHEALTH OPTIONS
AL500002OtherUNITED HEALTH CARE
AL01Z301Medicare Oscar/Certification