# EVERGREEN MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1891770368
- **Authorized official:** MRS. SHARON JONES (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (251) 578-2480

## Contact information

- **Practice address:** 101 CRESTVIEW AVE, EVERGREEN, AL 36401-3333
- **Practice address phone:** (251) 578-2480
- **Practice address fax:** (251) 578-1055
- **Mailing address:** PO BOX 706, EVERGREEN, AL 36401-0706
- **Mailing address phone:** (251) 578-2480
- **Mailing address fax:** (251) 578-1055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 12/07/2005
- **Last updated:** 09/09/2008