| Lv Stabler Memorial Hospital | |
|
29 L V Stabler Dr Greenville AL 36037-3850 | |
| (334) 382-2671 | |
| Not Available |
| Full Name | Lv Stabler Memorial Hospital |
|---|---|
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 29 L V Stabler Dr, Greenville, Alabama |
| Authorized Official Name and Position | David Glenn Wilcox (CFO) |
| Authorized Official Contact | 3343832423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lv Stabler Memorial Hospital Po Box 1547 Sedalia MO 65302-1547 Ph: (660) 826-5960 | Lv Stabler Memorial Hospital 29 L V Stabler Dr Greenville AL 36037-3850 Ph: (334) 382-2671 |
| NPI Number | 1366427437 |
|---|---|
| Provider Enumeration Date | 12/13/2005 |
| Last Update Date | 02/26/2018 |
| Medicare PECOS PAC ID | 0648173898 |
|---|---|
| Medicare Enrollment ID | O20040127000984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366427437 | NPI | - | NPPES |
| 529901180 | Medicaid | AL | |
| CI7411 | Other | AL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | (* (Not Available)) | Primary |
| Provider Name | Amelia J Whiddon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528043684 PECOS PAC ID: 7618867292 Enrollment ID: I20040317001080 |
| Provider Name | Ashley Ryan Mcphaul |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073567152 PECOS PAC ID: 5193729903 Enrollment ID: I20060911000308 |
| Provider Name | Lakshmikantha Kumbla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265452098 PECOS PAC ID: 6305845355 Enrollment ID: I20061220000375 |
| Provider Name | Fortunate E Ovbiagele |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659391456 PECOS PAC ID: 2860423944 Enrollment ID: I20080915000605 |
| Provider Name | Charles W Rutter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700992542 PECOS PAC ID: 9335242155 Enrollment ID: I20081229000052 |
| Provider Name | Timothy E Dickey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942435268 PECOS PAC ID: 5890845887 Enrollment ID: I20101027000260 |
Turning Point Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Caldwell St, Greenville, AL 36037 Phone: 334-437-5742 | |
Poised Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 S Mt Zion Rd, Greenville, AL 36037 Phone: 334-437-2388 | |
Bennett's Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1478 Old Central Rd, Greenville, AL 36037 Phone: 334-382-5736 Fax: 334-382-0330 | |
The Health Care Authority Of The City Of Greenville - Lv Stabler Hospi Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 L V Stabler Dr, Greenville, AL 36037 Phone: 334-382-2671 | |
Helping Hands Professional Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Caldwell St, Greenville, AL 36037 Phone: 334-437-5742 |