# INFIRMARY ASC - FAIRHOPE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699421024
- **Authorized official:** CARLA EVANS (RVP OF OPS)
- **Authorized official phone:** (614) 374-6496

## Contact information

- **Practice address:** 411 N SECTION ST, FAIRHOPE, AL 36532-2649
- **Practice address phone:** (614) 374-6496
- **Mailing address:** 7110 CROSSWOODS BLVD, SUITE 100, BRENTWOOD, TN 37027
- **Mailing address phone:** (615) 550-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2022
- **Last updated:** 02/24/2022