Russellville Health Care, Inc.

LBN: Russellville Health Care, Llc
Russellville Health Care, Inc. is an health care organization with primary practice located at 705 Gandy St Ne , Russellville AL 35653-1913. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Russellville Health Care, Llc can be contacted via phone (256) 332-3773, or through Hovater, Brenda Gail via phone (256) 332-3773.

Contact Information

Primary practice address
705 Gandy St Ne Russellville AL 35653-1913
Phone: (256) 332-3773
Fax: (256) 332-1292
Website:
Map and Directions
Authorized official contact:
Name: Hovater, Brenda Gail
Phone: (256) 332-3773

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 12541 Alabama

Profile Details

NPI number 1326120502
LBN Legal business name Russellville Health Care, Llc
DBA Doing business as Russellville Health Care, Inc.
Authorized official Hovater, Brenda Gail
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Aug 26th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326120502 NPPES
Alabama MEDICAID 4750710

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