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EVERGREEN MEDICAL CENTER LLC NPI 1356695886


NPI Information

NPI: 1356695886
Provider Name: EVERGREEN MEDICAL CENTER LLC

Doing Business As: EVERGREEN PRIMARY CARE

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
100 EDWINA STREET
EVERGREEN, AL
ZIP 36401
Phone: (251) 578-0278
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EVERGREEN MEDICAL CENTER LLC is an emergency medicine in Evergreen, AL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. EVERGREEN MEDICAL CENTER LLC NPI is 1356695886. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Evergreen Primary Care.

The provider's business location address is:

100 EDWINA STREET
EVERGREEN, AL
ZIP 36401-319
Phone: (251) 578-0278
Fax: (251) 578-0290

The provider's authorized official is James Powell .
The authorized official title is Office Manager and has the following contact phone number (251) 578-0278.

The enumeration date for this NPI number is 11/6/2012 and was last updated on 11/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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