Organization
EVERGREEN MEDICAL CENTER LLC
Active
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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