EVERGREEN MEDICAL CENTER LLC NPI 1881677581

NPI Information

NPI: 1881677581
Provider Name: EVERGREEN MEDICAL CENTER LLC

Doing Business As: EVERGREEN HOME CARE

Classification: Registered Nurse - 163WH0200X
Entity Type: Organization

Specialization: Home Health

Address:
308 SOUTH MAIN ST
EVERGREEN, AL
ZIP 36401
Phone: (251) 578-6800
Get Directions

EVERGREEN MEDICAL CENTER LLC is a home health registered nurse in Evergreen, AL. EVERGREEN MEDICAL CENTER LLC NPI is 1881677581. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Evergreen Home Care.

The provider's business location address is:

308 SOUTH MAIN ST
EVERGREEN, AL
ZIP 36401
Phone: (251) 578-6800
Fax: (251) 578-0252

The provider's authorized official is Sharon Jones .
The authorized official title is Cfo and has the following contact phone number (251) 578-2480.

The enumeration date for this NPI number is 11/28/2005 and was last updated on 1/3/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH0200X	Registered Nurse	Home Health	10419	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	51043109	OTHER	ALABAMA	BC BS
2	GIL7106A	MEDICAID	ALABAMA
3	017106	MEDICARE OSCAR/CERTIFICATION	ALABAMA

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

NPI Synchronization or Removal

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