Organization
FAIRWAY MEDICAL CENTER, LLC
Active
Other names
Avala
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WILLIAM'BILL' HANKINS (CEO)
(985) 801-6246
Entity
Organization
Contact information
Practice address
67252 INDUSTRY LN, COVINGTON, LA 70433-8704
(985) 809-9888
(985) 801-3099
Mailing address
67252 INDUSTRY LN, COVINGTON, LA 70433-8704
(985) 809-9888
(985) 809-1588
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
09/08/2022
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