The Healthcare Authority of Lauderdale County and the City of Florence

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

THE HEALTHCARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENCE

Practice address

205 Marengo St
Florence, AL 35630-6033

Phone

(866) 313-5265

Fax

(205) 313-5245

NPI assigned

Jun 3, 2006

Organization subpart

Yes

Parent organization

THE HEATHCARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENCE,As reported in NPPES

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

Authorized official

Name

Mrs. Diane D Mynck

Title

Business Office Director

Phone

(256) 768-9510

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eliza Coffee Memorial Hospital - ER Doing business as

Part of

Ecm Emergency Physician

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1760420541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10005",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356312005",
            "telephone_number": "866-313-5265",
            "fax_number": "205-313-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARENGO ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306033",
            "telephone_number": "866-313-5265",
            "fax_number": "205-313-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTHCARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEATHCARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENCE,",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "MYNCK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "256-768-9510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE GRP #",
            "identifier": "CG4578",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558200140",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eliza Coffee Memorial Hospital - ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Health Care Authority of Lauderdale County and the City of Florenc
• The Health Care Authority of Lauderdale County and the City of Florenc
• The Health Care Authority of Lauderdale County and the City of Florenc
• The Health Care Authority of Lauderdale County and the City of Florenc
• The Health Care Authority of Lauderdale County and the City of Florenc
• The Lung Center, PC
• The Pediatric Dental Clinic
• The Shoals Clinic PC
• The Uniform Shop, Inc.
• The West Clinic P.C.

• All providers in Florence, AL
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.