GREENE COUNTY HOSPITAL PHYSICIANS' CLINIC (GREENE COUNTY HOSPITAL & NURSING HOME) NPI 1043389398

Clinic/Center in Eutaw, AL

NPI 1043389398 Organization Clinic/Center

About GREENE COUNTY HOSPITAL PHYSICIANS' CLINIC (GREENE COUNTY HOSPITAL & NURSING HOME)

Greene County Hospital Physicians' Clinic (greene County Hospital & Nursing Home) is a provider established in Eutaw, Alabama specializing in clinic/center. The NPI number of Greene County Hospital Physicians' Clinic (greene County Hospital & Nursing Home) is 1043389398 and was assigned on November 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Greene County Hospital Physicians' Clinic. The authorized official of this NPI record is Mr. Elmore Patterson Mha (Ceo)

NPI

1043389398

Provider NameGREENE COUNTY HOSPITAL PHYSICIANS' CLINIC (GREENE COUNTY HOSPITAL & NURSING HOME)
Provider Location Address607 WILSON AVE EUTAW, AL 35462
Provider Mailing Address607 WILSON AVE EUTAW, AL 35462
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameGREENE COUNTY HOSPITAL PHYSICIANS' CLINIC
Other Name TypeDoing Business As (3)
Enumeration Date11-08-2006
Last Update Date06-03-2020


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
Taxonomy DescriptionA facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

GREENE COUNTY HOSPITAL PHYSICIANS' CLINIC
607 WILSON AVE
EUTAW, AL
ZIP 35462
Phone: (205) 372-4035
Fax: (205) 372-1228

Get Directions


Mailing Address

GREENE COUNTY HOSPITAL PHYSICIANS' CLINIC
607 WILSON AVE
EUTAW, AL
ZIP 35462
Phone: (205) 372-4035
Fax: (205) 372-1228



Authorized Official

Authorized Official NameMR. ELMORE PATTERSON MHA
Authorized Official TitleCEO
Authorized Official Phone(205) 372-3388

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
55890030MEDICAID (05)AL

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407052020MS. CARROLL BELINDA HOGUE CRNP
Individual
Nurse Practitioner (Family)607 WILSON AVE SUITE 1
EUTAW, AL 35462
(205) 372-1260
1285946863GREENE COUNTY HEALTH SYSTEM HOME HEALTH AGENCY
Organization
Home Health607 WILSON AVE SUITE 3
EUTAW, AL 35462
(205) 372-2399
1356355374DR. THOMAS D MCDERMOTT MD
Individual
Internal Medicine607 WILSON AVE
EUTAW, AL 35462
(205) 372-1260
1952470205GREENE COUNTY HOSPITAL HOME HEALTH
Organization
Home Health607 WILSON AVE
EUTAW, AL 35462
(205) 372-3299

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.