Organization
EVERGREEN MEDICAL CENTER LLC
Active
Other names
EVERGREEN PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON JONES (CHIEF FINANCIAL OFFICER)
(251) 578-2480
Entity
Organization
Contact information
Practice address
100 EDWINA STREET, EVERGREEN, AL 36401-3319
(251) 578-0278
(251) 578-0290
Mailing address
PO BOX 706, EVERGREEN, AL 36401-0706
(251) 578-0278
(251) 578-0290
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2010
Last updated
03/27/2012
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