Mid-South

LBN: Gentiva
Mid-South is an health care organization with primary practice located at 2200 Riverchase Ctr Ste 700 , Birmingham AL 35244-2915. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Gentiva can be contacted via phone (205) 739-7800, or through Ellis, Jack Anthony via phone (205) 914-8588.

Contact Information

Primary practice address
2200 Riverchase Ctr Ste 700 Birmingham AL 35244-2915
Phone: (205) 739-7800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Jack Anthony MS, PT, CMT
Phone: (205) 914-8588

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTH4693 Alabama

Profile Details

NPI number 1477670081
LBN Legal business name Gentiva
DBA Doing business as Mid-South
Authorized official Ellis, Jack Anthony MS, PT, CMT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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