Organization
GREENE COUNTY HOSPITAL & NURSING HOME
Active
Parent organization
GREENE COUNTY HOSPITAL & NURSING HOME
Other names
Greene County Hospital Physicians' Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENE COUNTY HOSPITAL & NURSING HOME
Authorized official
MS. MARCIA PUGH (CHIEF EXECUTIVE OFFICER (CEO))
(205) 994-8629
Entity
Organization
Contact information
Practice address
607 WILSON AVE, EUTAW, AL 35462
(205) 372-4035
(205) 372-1228
Mailing address
607 WILSON AVE, EUTAW, AL 35462
(205) 372-4035
(205) 372-1228
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010532
BCBS
AL
05
—
55890030
—
AL
Enumeration date
11/08/2006
Last updated
02/15/2024
Update your record
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