Provider Demographics
NPI:1699096552
Name:RCHP - FLORENCE LLC
Entity type:Organization
Organization Name:RCHP - FLORENCE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-920-7000
Mailing Address - Street 1:201 AVALON AVE
Mailing Address - Street 2:ATTN: FACILITY CEO
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-2805
Mailing Address - Country:US
Mailing Address - Phone:256-386-1699
Mailing Address - Fax:256-386-1575
Practice Address - Street 1:201 AVALON AVE
Practice Address - Street 2:ATTN: FACILITY CEO
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2805
Practice Address - Country:US
Practice Address - Phone:256-386-1699
Practice Address - Fax:256-386-1575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALH1702282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL130226Medicaid
ALHOS0157HMedicaid
AL010157Medicare Oscar/Certification