Hale County Hospital
Organization Active NPI Emergency Medicine Physician · Greensboro, AL
NPI 1124356563 · NPPES record last updated Jun 16, 2022
Key facts
- NPI
- 1124356563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- H3301 (AL)
- Legal business name
- HALE COUNTY HOSPITAL
- Practice address
- 508 Greene St
Greensboro, AL 36744-2316 - Phone
- (334) 624-3024
- Fax
- (334) 624-4453
- NPI assigned
- Nov 23, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- HALE COUNTY HOSPITAL
Authorized official
- Name
- Thomas Ogden Lackey
- Title
- Administrator
- Phone
- (334) 624-3024
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 5
Practitioners 22
-
Meghan Bonds, MD
-
Deborah Ann Carlisle, CRNP
-
John Amstutz Dorsey, M.D.
-
Steven Galvez, CRNP
-
Molly Jackson Gwin, CRNP
-
Martin M Hajjar, MD
-
Jamie Lynn Haney, CRNP
-
Jessica Parker James, CRNP
-
Anna Alise Jones, CRNP
-
Sarah Morgan Spencer, CRNP
-
April Burrell Tucker, NURSE PRACTITIONER
-
Rachel Waters Crawford, CRNP
-
Ellen Lewis Singleton, CRNP
-
Donna L Davis, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040624000445 | AL | Part B Supplier - Clinic/Group Practice | 3375528169 |
Receives reassigned benefits from 19 practitioners 1 other NPI on this enrollment Practice locations: Greensboro, AL |
National Provider Directory
- Part of
- Hale Co Hospital Clinic
Locations
508 Greene St
#2
Greensboro, AL 36744
Phone (334) 624-3024
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | H3301 | AL | Yes |
| Hospitalist Physician |
208M00000X | H3301 | AL |
Addresses
Primary practice location
508 Greene St
Greensboro, AL 36744-2316
Mailing address
508 Greene St
Greensboro, AL 36744-2316
Phone (334) 624-3024
Other names
- HALE COUNTY PHYSICIAN GROUP
Other providers in Greensboro, AL
- Hale County Health Dept Prev Health Ed
- Hale County Health Dept Pri Care
- Hale County Health Dept STD
- Hale County Health Dept VFC Immun
- Hale County Hospital
- Hale County Hospital
- Hale County Hospital
- Hale County Hospital
- Shekela J Hampton
- Jamie Lynn Haney
All providers in Greensboro, AL · Emergency Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.