NPI 1396735965 · live from the CMS NPI Registry
Cogburn Health & Rehabilitation-Midtown, INC.
Skilled Nursing Facility in Mobile, AL. National Provider Identifier 1396735965, active.
NPI record
| NPI | 1396735965 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 3104 Dauphin Sq Connector, Mobile, AL 36607 |
| Practice phone | 251-450-2800 |
| Mailing address | 2651 Cameron St Ste D, Mobile, AL 36607 |
| Enumerated | October 25, 2005 |
| Last updated | August 26, 2009 |
| Authorized official | Prentiss Smith, Chief Operating Officer |
| Other names | Cogburn Nursing Center-Midtown |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 016981 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.