Provider Demographics
NPI:1992304778
Name:HEALTH CARE AUTHORITY OF THE CITY OF OXFORD, ALABAMA
Entity type:Organization
Organization Name:HEALTH CARE AUTHORITY OF THE CITY OF OXFORD, ALABAMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MSHS, NRP
Authorized Official - Phone:256-405-8123
Mailing Address - Street 1:2011 BYNUM BLVD.
Mailing Address - Street 2:
Mailing Address - City:EASTABOGA
Mailing Address - State:AL
Mailing Address - Zip Code:36260
Mailing Address - Country:US
Mailing Address - Phone:256-849-2566
Mailing Address - Fax:
Practice Address - Street 1:2011 BYNUM BLVD.
Practice Address - Street 2:
Practice Address - City:EASTABOGA
Practice Address - State:AL
Practice Address - Zip Code:36260
Practice Address - Country:US
Practice Address - Phone:256-849-2566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)