Organization
FAYETTE MEDICAL CENTER
Active
Other names
Fayette Medical Center Swing Bed Unit
Organization subpart
No
Provider details
NPI number
Authorized official
KERI H HINDMAN (DIRECTOR OF BUSINESS SERVICES)
(205) 759-7378
Entity
Organization
Contact information
Practice address
1653 TEMPLE AVE N, FAYETTE, AL 35555-1314
(205) 932-1280
(205) 759-6397
Mailing address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7378
(205) 759-6397
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
11804
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG6924
RAILROAD MEDICARE
AL
Enumeration date
10/24/2006
Last updated
04/22/2022
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