Organization
THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI
Active
Parent organization
THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI
Other names
LV Stabler Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI
Authorized official
DAVID GLENN WILCOX CPA (CFO)
(334) 383-2423
Entity
Organization
Contact information
Practice address
29 L V STABLER DR, GREENVILLE, AL 36037-3850
(334) 382-2671
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529901180
—
AL
01
—
CI7411
RR MEDICARE
AL
Enumeration date
12/13/2005
Last updated
02/26/2018
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