Eliza Coffee Memorial Hosptial-ip Psych | |
205 Marengo St Florence AL 35630-6033 | |
(256) 768-9191 | |
(256) 768-9775 |
Full Name | Eliza Coffee Memorial Hosptial-ip Psych |
---|---|
Speciality | Psychiatric Unit |
Location | 205 Marengo St, Florence, Alabama |
Authorized Official Name and Position | Jody Lewis Pigg (CFO) |
Authorized Official Contact | 2567689191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eliza Coffee Memorial Hosptial-ip Psych Po Box 10005 Florence AL 35631-2005 Ph: (256) 768-9191 | Eliza Coffee Memorial Hosptial-ip Psych 205 Marengo St Florence AL 35630-6033 Ph: (256) 768-9191 |
NPI Number | 1487855094 |
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Provider Enumeration Date | 05/30/2007 |
Last Update Date | 10/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487855094 | NPI | - | NPPES |
558200140 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | H3902 (Alabama) | Primary |
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