NPIMap

Organization Active NPI

Gove Hill Memorial Hospital, Inc

  • Clinical Neuropsychologist
  • Grove Hill, AL
National Provider Identifier
1497989370
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
GOVE HILL MEMORIAL HOSPITAL, INC
Practice address
295 South Jackson Street
Grove Hill, AL 36451-0935
Phone
(251) 275-3191
Fax
(251) 275-4281
NPI assigned
May 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cornelia P Overstreet
Title
Insurance Manager
Phone
(251) 275-4043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X AL Primary

Addresses

Primary practice location

295 South Jackson Street
Grove Hill, AL 36451-0935

Mailing address

P O Box 935
Grove Hill, AL 36451-0935
Phone (251) 275-3191

Other names 1

  • Southern Oak Psyc Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gove Hill Memorial Hospital Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1497989370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 935",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "364510935",
            "telephone_number": "251-275-3191",
            "fax_number": "251-275-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 SOUTH JACKSON STREET",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "364510935",
            "telephone_number": "251-275-3191",
            "fax_number": "251-275-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOVE HILL MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "OVERSTREET",
        "authorized_official_first_name": "CORNELIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "251-275-4043"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Oak Psyc Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove Hill, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.