Provider Demographics
NPI:1154352524
Name:GULF HEALTH HOSPITALS DBA OAKWOOD CENTER FOR LIVING
Entity type:Organization
Organization Name:GULF HEALTH HOSPITALS DBA OAKWOOD CENTER FOR LIVING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:EADS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-580-1717
Mailing Address - Street 1:PO BOX 1409
Mailing Address - Street 2:
Mailing Address - City:BAY MINETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36507-1409
Mailing Address - Country:US
Mailing Address - Phone:251-580-1717
Mailing Address - Fax:251-937-1657
Practice Address - Street 1:2010 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:BAY MINETTE
Practice Address - State:AL
Practice Address - Zip Code:36507-4163
Practice Address - Country:US
Practice Address - Phone:251-580-1717
Practice Address - Fax:251-937-1657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL47-57900SMedicaid
AL015417Medicare UPIN