Athens Convalescent Center in Athens - Parenteral & Enteral Nutrition

Athens Convalescent Center - NPI 1386631521

Athens Convalescent Center is a Parenteral & Enteral Nutrition in Athens, Alabama. Athens Convalescent Center practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Athens Convalescent Center is 1386631521. The last update date is 2009-10-14.

Athens Convalescent Center's current location address is 611 W Market St, Athens, Alabama. You can contact this provider via phone number 2562321620 and fax number 2562322017. The mailing address for Athens Convalescent Center is 611 W Market St, Athens, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization Athens Convalescent Center
Address 611 W Market St, Athens, Alabama
Phone Number 2562321620
Fax Number 2562322017
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Wallace John
Telephone Number 2562321620

NPI Number Detail

NPI Number 1386631521
Provider Enumeration Date 2005-10-03
Last Updated Date 2009-10-14

Provider Mailing Address Detail

Address 611 W Market St
City Athens
State Alabama (AL)
Post Code 356112460
Phone Number 2562321620
Fax Number 2562322017

Provider's Primary Taxonomy Detail

Speciality Parenteral & Enteral Nutrition
Taxonomy 332Bp3500X
Licence No N4201
Definition:
Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15016 AL MEDICARE PART A PROVIDER
4757080S AL --

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FAQs about Athens Convalescent Center

What is the unique identifier code issued to Athens Convalescent Center by the Centers for Medicare & Medicaid Services?

The Athens Convalescent Center has been assigned the NPI (National Provider Identifier) 1386631521. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Athens Convalescent Center is physically located?

The Athens Convalescent Center is physically situated at the following address: 611 W Market St, Athens, AL, 356112460.

What is Athens Convalescent Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Athens Convalescent Center is Parenteral & Enteral Nutrition, and the taxonomy code that categorizes this field of expertise is 332Bp3500X.

On what date did the Centers for Medicare & Medicaid Services issue the 1386631521 to Athens Convalescent Center?

The Athens Convalescent Center received its 1386631521 assignment from the Centers for Medicare & Medicaid Services on 2005-10-03.

As of what date were the Athens Convalescent Center's details last updated?

The information pertaining to the Athens Convalescent Center, including its address, specialty, and other details, was most recently updated on 2009-10-14.

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