Organization
COMMUNITY HOSPITAL INC
Active
Other names
COMMUNITY FOOT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE S GREER (CFO)
(334) 283-3734
Entity
Organization
Contact information
Practice address
875 FRIENDSHIP RD STE J, TALLASSEE, AL 36078-1256
(334) 283-3734
Mailing address
875 FRIENDSHIP RD STE J, TALLASSEE, AL 36078-1256
(334) 283-3734
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00242
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51537650
BCBS PROVIDER NUMBER
AL
01
—
C831
MEDICARE GROUP PAYOR ID
AL
Enumeration date
02/28/2007
Last updated
01/11/2012
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