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Organization
FAYETTE MEDICAL CENTER HOME HEALTH
Active
Organization
FAYETTE MEDICAL CENTER HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI HENLEY HINDMAN (PATIENT ACCOUNTS DIRECTOR)
(205) 759-7378
Entity
Organization
Contact information
Practice address
411 FAYETTE SQ, FAYETTE, AL 35555-1723
(205) 932-5961
(205) 932-8054
Mailing address
PO BOX 710, 1653 TEMPLE AVENUE NORTH, FAYETTE, AL 35555-0710
(205) 932-5961
(205) 932-8054
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010-772
BLUE CROSS
AL
01
—
510-42430
BLUE CROSS
AL
05
—
FAY7088A
—
AL
Enumeration date
10/31/2006
Last updated
04/22/2022
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