| Coosa Valley Medical Center Senior Behavioral Health Unit | |
|
315 W Hickory St Sylacauga AL 35150-2913 | |
| (256) 401-4000 | |
| (256) 401-4603 |
| Full Name | Coosa Valley Medical Center Senior Behavioral Health Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 315 W Hickory St, Sylacauga, Alabama |
| Authorized Official Name and Position | Glenn Sisk (CEO) |
| Authorized Official Contact | 2564014604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coosa Valley Medical Center Senior Behavioral Health Unit 315 W Hickory St Sylacauga AL 35150-2913 Ph: (256) 401-4000 | Coosa Valley Medical Center Senior Behavioral Health Unit 315 W Hickory St Sylacauga AL 35150-2913 Ph: (256) 401-4000 |
| NPI Number | 1649420704 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Medicare PECOS PAC ID | 5294710398 |
|---|---|
| Medicare Enrollment ID | O20080929000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649420704 | NPI | - | NPPES |
| 01S164 | Other | AL | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | H6102 (Alabama) | Primary |
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