Tri County Medical Center Inc
Organization Active NPI Internal Medicine Physician · Evergreen, AL
NPI 1679658371 · NPPES record last updated Apr 28, 2008
Key facts
- NPI
- 1679658371
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- TRI COUNTY MEDICAL CENTER INC
- Practice address
- 316 S Main St
Evergreen, AL 36401-3325 - Phone
- (251) 578-1163
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Marilyn J Sawyer
- Title
- Executive Director
- Phone
- (251) 578-1163
Subparts reporting this organization as parent 10
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
316 S Main St
Evergreen, AL 36401-3325
Mailing address
PO Box 726
316 South Main Street
Evergreen, AL 36401-0726
Phone (251) 578-1163
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630000017 | Medicaid | AL | |
| CD9346 | Other | AL | RAILROAD MEDICARE GROUP |
| DD4470 | Other | AL | RAILROAD MEDICAID GROUP |
Other providers in Evergreen, AL
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- Statewide Healthcare Services, LLC
- Stephen M West MD LLC
- Joshua C. Walsh
- Ausha Weathers-Yates
- Stephen Michael West
- Amrita Yearwood
All providers in Evergreen, AL · Internal 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 Apr 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.