Provider Demographics
NPI:1154362853
Name:GULF HEALTH HOSPITALS, INC.
Entity type:Organization
Organization Name:GULF HEALTH HOSPITALS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-450-3300
Mailing Address - Street 1:127C CLARK ST
Mailing Address - Street 2:
Mailing Address - City:GROVE HILL
Mailing Address - State:AL
Mailing Address - Zip Code:36451-3010
Mailing Address - Country:US
Mailing Address - Phone:251-450-3300
Mailing Address - Fax:251-435-2599
Practice Address - Street 1:127C CLARK ST
Practice Address - Street 2:
Practice Address - City:GROVE HILL
Practice Address - State:AL
Practice Address - Zip Code:36451-3010
Practice Address - Country:US
Practice Address - Phone:251-450-3300
Practice Address - Fax:251-435-2599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01-7130Medicare ID - Type UnspecifiedHOME HEALTH AGENCY