Hale County Hospital
Emergency Medicine in Greensboro, AL. Organization (NPI-2).
NPI number1124356563
StatusActive
Last updated in NPPESJun 16, 2022
Details
- NPI
- 1124356563
- Entity type
- Organization (NPI-2)
- Legal business name
- Hale County Hospital
- Organization subpart
- Yes
- Enumeration date
- Nov 23, 2009
- Certification date
- Jun 16, 2022
- Last updated
- Jun 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | H3301 | AL | Yes |
| 208M00000X | Hospitalist | H3301 | AL |
Other names
- Hale County Physician Group (Doing Business As)
Practice location
508 Greene StGreensboro, AL 36744-2316
Phone 334-624-3024 · Fax 334-624-4453
Mailing address
508 Greene StGreensboro, AL 36744-2316
Phone 334-624-3024 · Fax 334-624-4453
Authorized official
Thomas Ogden Lackey
Administrator
3346243024
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