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EVERGREEN MEDICAL CENTER LLC NPI 1891904223


NPI Information

NPI: 1891904223
Provider Name: EVERGREEN MEDICAL CENTER LLC

Doing Business As: NICOLE M LAIRD CRNP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
106 EDWINA ST
EVERGREEN, AL
ZIP 36401
Phone: (251) 578-4300
Get Directions

EVERGREEN MEDICAL CENTER LLC is an internal medicine in Evergreen, AL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EVERGREEN MEDICAL CENTER LLC NPI is 1891904223. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nicole M Laird Crnp.

The provider's business location address is:

106 EDWINA ST
EVERGREEN, AL
ZIP 36401-319
Phone: (251) 578-4300
Fax: (251) 578-4307

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

The enumeration date for this NPI number is 5/22/2007 and was last updated on 4/20/2010.


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
1207R00000XInternal Medicine19723ALABAMANo
2207R00000XInternal MedicineH1801ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1529906180OTHERALABAMAMEDICAID GROUP PAYEE NUMB
2529933018OTHERALABAMAMEDICAID PAYEE
3510G700111OTHERALABAMAMEDICARE PTAN

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: 4/28/2024

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