Organization
THE HEALTHCARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENCE
Active
Parent organization
THE HEATHCARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENCE,
Other names
Eliza Coffee Memorial Hospital - ER
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HEATHCARE AUTHORITY OF LAUDERDALE COUNTY AND THE CITY OF FLORENCE,
Authorized official
MRS. DIANE D MYNCK (BUSINESS OFFICE DIRECTOR)
(256) 768-9510
Entity
Organization
Contact information
Practice address
205 MARENGO ST, FLORENCE, AL 35630-6033
(866) 313-5265
(205) 313-5245
Mailing address
PO BOX 10005, FLORENCE, AL 35631-2005
(866) 313-5265
(205) 313-5245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
558200140
—
AL
01
—
CG4578
RR MCARE GRP #
AL
Enumeration date
06/03/2006
Last updated
12/02/2011
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