| Hale County Hospital Clinic | |
|
508 Greene St Greensboro AL 36744-2316 | |
| (334) 624-4442 | |
| (334) 624-1405 |
| Full Name | Hale County Hospital Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 508 Greene St, Greensboro, Alabama |
| Authorized Official Name and Position | Thomas O Lackey (ADMINISTRATOR/CEO) |
| Authorized Official Contact | 3346243024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hale County Hospital Clinic Po Box 614 Greensboro AL 36744 Ph: (334) 624-4442 | Hale County Hospital Clinic 508 Greene St Greensboro AL 36744-2316 Ph: (334) 624-4442 |
| NPI Number | 1558464511 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 01/28/2013 |
| Medicare PECOS PAC ID | 3375528169 |
|---|---|
| Medicare Enrollment ID | O20090630000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558464511 | NPI | - | NPPES |
| 529303070 | Medicaid | AL | |
| 121780 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Labridgette R. Ellis Medical And Dental Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Hall St, Greensboro, AL 36744 Phone: 334-624-7270 Fax: 334-624-0872 | |
Magnolia Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Tuscaloosa St Ste A, Greensboro, AL 36744 Phone: 601-832-0662 |