Organization
EVERGREEN MEDICAL CENTER LLC
Active
Parent organization
EVERGREEN MEDICAL CENTER LLC
Other names
Evergreen Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN MEDICAL CENTER LLC
Authorized official
MRS. SHARON JONES (CFO)
(251) 578-2480
Entity
Organization
Contact information
Practice address
308 SOUTH MAIN ST, EVERGREEN, AL 36401
(251) 578-6800
(251) 578-0252
Mailing address
308 SOUTH MAIN ST, EVERGREEN, AL 36401
(251) 578-6800
(251) 578-0252
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
10419
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51043109
BC BS
AL
05
—
GIL7106A
—
AL
Enumeration date
11/28/2005
Last updated
01/03/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us