| Lakeland Community Hospital Psychiatric Unit | |
|
42024 Hwy 195 Haleyville AL 35565-7054 | |
| (205) 485-7108 | |
| (205) 485-7127 |
| Full Name | Lakeland Community Hospital Psychiatric Unit |
|---|---|
| Speciality | Clinical Nurse Specialist |
| Location | 42024 Hwy 195, Haleyville, Alabama |
| Authorized Official Name and Position | Ashoke 'bappa' Mukherji (JAVA MEDICAL GROUP CEO) |
| Authorized Official Contact | 6153088800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Community Hospital Psychiatric Unit 42024 Highway 195 P.o. Box 780 Haleyville AL 35565 Ph: (205) 486-5213 | Lakeland Community Hospital Psychiatric Unit 42024 Hwy 195 Haleyville AL 35565-7054 Ph: (205) 485-7108 |
| NPI Number | 1063719599 |
|---|---|
| Provider Enumeration Date | 02/18/2011 |
| Last Update Date | 08/19/2021 |
| Certification Date | 08/19/2021 |
| Medicare PECOS PAC ID | 8224354618 |
|---|---|
| Medicare Enrollment ID | O20150330001700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063719599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | (* (Not Available)) | Primary |
Winston Marion County Arc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 County Highway 76, Haleyville, AL 35565 Phone: 205-486-2178 Fax: 205-486-6510 |