Organization
FAYETTE MEDICAL CENTER
Active
Other names
Fayette County Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W HERMAN (VP FINANCE)
(205) 759-7297
Entity
Organization
Contact information
Practice address
1653 TEMPLE AVE N, FAYETTE, AL 35555
(205) 932-5966
(205) 932-1260
Mailing address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7190
(205) 330-3777
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H2901
AL
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010124
BLUE CROSS
AL
01
—
510C858
BLUE SHIELD
AL
05
—
558200720
—
AL
01
—
9195
HEALTHSPRINGS
AL
01
—
A3555501
UNITED HEALTHCARE
AL
01
—
C858
BLUE SHIELD MED B
AL
05
—
HOS0045H
—
AL
Enumeration date
07/07/2006
Last updated
02/19/2026
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