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BETHANY HOUSE OF EAST ALABAMA MEDICAL CENTER

Hospice, Inpatient

Auburn, Alabama

Provider NPI: 1194896712

Organization Information:
Organization Name:  BETHANY HOUSE OF EAST ALABAMA MEDICAL CENTER


Practice Location:
1171 GATEWOOD DR  AUBURN, AL 36830 US
Tel: 334-826-0032  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315D00000XNursing & Custodial Care Facilities
Hospice, Inpatient
AL11693

Other Provider Identifiers:

IssuerNumberStateType
BLUECROSS BLUESHIELD010499AL01
PIC1528EAL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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