EVERGREEN MEDICAL CENTER LLC; NPI #1881677581

Contact Information

EVERGREEN MEDICAL CENTER LLC

308 SOUTH MAIN ST
EVERGREEN, AL 36401

Phone: 251-578-6800
Fax: 251-578-0252
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Home Health	163WH0200X

Indicates primary specialty

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NPI Profile & details for EVERGREEN MEDICAL CENTER LLC

NPI Number 1881677581

LBN Legal business name EVERGREEN MEDICAL CENTER LLC

Authorized official SHARON JONES - (CFO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/28/2005

Last updated 01/03/2008 - About 18 years ago

Identifiers

AL	License #	10419
AL	Medicaid	GIL7106A
AL	Other	51043109	BC BS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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EVERGREEN MEDICAL CENTER LLC

Contact Information

Specialty

Home Health

NPI Profile & details for EVERGREEN MEDICAL CENTER LLC

Reviews for EVERGREEN MEDICAL CENTER LLC