PROVIDENCE HOSPITAL NPI 1932277050

Rehabilitation Hospital in Theodore, AL

NPI 1932277050 Organization Rehabilitation Hospital

About PROVIDENCE HOSPITAL

Providence Hospital is a provider established in Theodore, Alabama specializing in rehabilitation hospital. The NPI number of Providence Hospital is 1932277050 and was assigned on November 2006. The practitioner's primary taxonomy code is 283X00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Miss Jinni L Frisbey Med, Atc (Certified Head Athletic Trainer)

NPI

1932277050

Provider NamePROVIDENCE HOSPITAL
Provider Location Address6351 WOODSIDE DR THEODORE, AL 36582
Provider Mailing Address6351 WOODSIDE DR THEODORE, AL 36582
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-30-2006
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code283X00000X
ClassificationRehabilitation Hospital
TypeHospitals
Taxonomy DescriptionA hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

Business Address

PROVIDENCE HOSPITAL
6351 WOODSIDE DR
THEODORE, AL
ZIP 36582
Phone: (251) 442-2361

Get Directions


Mailing Address

PROVIDENCE HOSPITAL
6351 WOODSIDE DR
THEODORE, AL
ZIP 36582
Phone:



Authorized Official

Authorized Official NameMISS JINNI L FRISBEY MED, ATC
Authorized Official TitleCERTIFIED HEAD ATHLETIC TRAINER
Authorized Official Phone(251) 442-2361

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.