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Contact Information

EVERGREEN MEDICAL CENTER LLC
308 SOUTH MAIN ST
EVERGREEN, AL36401
 Phone: 251-578-6800
 Fax: 251-578-0252
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for EVERGREEN MEDICAL CENTER LLC · (Female)

NPI Number 1881677581
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2005
Last updated 01/03/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # 10419
  • AL Medicaid GIL7106A
  • AL Other 51043109 BC BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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