# LISTER HEALTH CARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ardmore Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922044494
- **Authorized official:** KRISTA CHASE (CREDENTIALING AGENT)
- **Authorized official phone:** (256) 767-7494

## Contact information

- **Practice address:** 30320 AL HIGHWAY 53 STE B&C, ARDMORE, AL 35739-8766
- **Practice address phone:** (256) 423-4800
- **Practice address fax:** (256) 423-8448
- **Mailing address:** PO BOX 298, FLORENCE, AL 35631-0298
- **Mailing address phone:** (256) 767-7494
- **Mailing address fax:** (256) 760-8432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 10/06/2020