Provider Demographics
NPI:1427082221
Name:FOLEY HOSPITAL CORPORATION
Entity type:Organization
Organization Name:FOLEY HOSPITAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OFFICE SUPPORT
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLTSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-465-7466
Mailing Address - Street 1:110 ELECIA LN
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-8970
Mailing Address - Country:US
Mailing Address - Phone:251-970-1290
Mailing Address - Fax:251-970-1294
Practice Address - Street 1:110 ELECIA LN
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-8970
Practice Address - Country:US
Practice Address - Phone:251-970-1290
Practice Address - Fax:251-970-1294
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOLEY HOSPITAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-10
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALSBR7127Medicaid
AL51501225OtherBCBS PROVIDER NUMBER HH
AL=========001OtherTRICARE HH PROVIDER NO.
AL=========001OtherTRICARE HH PROVIDER NO.