Organization
FAYETTE MEDICAL CENTER
Active
Other names
Fayette Medical Center LTC
Organization subpart
No
Provider details
NPI number
Authorized official
KERI HENLEY HINDMAN (DIRECTOR OF FINANCE)
(205) 759-7378
Entity
Organization
Contact information
Practice address
1653 TEMPLE AVE N, FAYETTE, AL 35555-1314
(205) 343-8500
(205) 932-1257
Mailing address
1653 TEMPLE AVE N, FAYETTE, AL 35555-1314
(205) 932-1112
(205) 932-1260
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12539
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010124
BLUE CROSS
AL
05
—
4753120S
—
AL
01
—
CG6924
RAILROAD MEDICARE
AL
Enumeration date
09/22/2005
Last updated
09/11/2025
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