EVERGREEN MEDICAL CENTER LLC


Address: 100 Edwina Street, Evergreen, AL 36401-3319
Phone: 2515780278

EVERGREEN MEDICAL CENTER LLC (NPI# 1427366871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427366871
Entity Type Organization
Organization Name EVERGREEN MEDICAL CENTER LLC
Other Organization Name EVERGREEN PRIMARY CARE
Practice Address 100 Edwina Street
Evergreen
AL 36401-3319
Mailing Address Po Box 706
Evergreen
AL 36401-0706
Practice Telephone 2515780278
Practice Fax Number 2515780290
Mailing Telephone 2515780278
Mailing Fax Number 2515780290
Enumeration Date 2010-09-20
Last Update Date 2012-03-27
Authorized Official Name SHARON JONES (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 2515782480
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
EVERGREEN PRIMARY CARE Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1891904223 Evergreen Medical Center LLC Internal Medicine 106 Edwina St, Evergreen, AL 36401-3319 2007-05-22
1891770368 Evergreen Medical Center LLC General Acute Care Hospital 101 Crestview Ave, Evergreen, AL 36401-3333 2005-12-07
1881677581 Evergreen Medical Center LLC Registered Nurse 308 South Main St, Evergreen, AL 36401 2005-11-28
1356695886 Evergreen Medical Center LLC Emergency Medicine 100 Edwina Street, Evergreen, AL 36401-3319 2012-11-06

Office Location

Street Address 100 EDWINA STREET
City EVERGREEN
State AL
Zip Code 36401-3319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467526038 Evergreen Dental Center Dentist 100 Edwina Street, Evergreen, AL 36401 2006-11-17
1356695886 Evergreen Medical Center LLC Emergency Medicine 100 Edwina Street, Evergreen, AL 36401-3319 2012-11-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437347572 Elizabeth L Godwin Counselor 101 Perryman Street Hwy 31, Compass Academy, Evergreen, AL 36401 2007-10-12
1679691661 Floyd Michael Cartwright Dentist 122 Court Street, Evergreen, AL 36401 2007-03-27
1134141229 Michael L Pitts Physical Therapist 124 Edwina St, Evergreen, AL 36401 2006-07-24
1275565442 Mark A Roberts Family Medicine 106 Edwina Street, Evergreen, AL 36401 2006-07-07
1881677581 Evergreen Medical Center LLC Registered Nurse 308 South Main St, Evergreen, AL 36401 2005-11-28
1063918118 Jessica Roberts Pierce Nurse Practitioner 106 Edwina Street, Evergreen, AL 36401 2018-04-05
1962535112 Douglas Patrick O'connor Dentist 104 Hillcrest Dr, Evergreen, AL 36401 2007-03-14
1952466211 Mark A Roberts Md PC Family Medicine 106 Edwina Street, Evergreen, AL 36401 2006-12-27
1659540086 State of Alabama Public Health or Welfare Highway 83 and I-65, Evergreen, AL 36401-0565 2008-02-29
1114447604 Conecuh County Health Dept Std Public Health or Welfare 102 Wild Ave, Evergreen, AL 36401-2134 2017-06-26
Find all providers in zip 36401

Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982205753 Pickens County Primary Care PC Clinic/Center 99 Commerce Avenue, Carrollton, AL 35447 2020-11-06
1952952541 Pediatric Associates of Alexander City PC Clinic/Center 21 Coosa County Road 50, Kellyton, AL 35089-1900 2019-09-25
1205309044 Boa Vida Hospital of Aberdeen, Ms LLC Clinic/Center 184 William E Hill Drive Ste C, Carrollton, AL 35447 2019-01-04
1487123915 Physicians Care of Camden LLC Clinic/Center 24b Camden Byp, Camden, AL 36726-1770 2018-11-14
1336634666 Central Pediatrics of Somerville LLC Clinic/Center 3609 Highway 67 S, Somerville, AL 35670 2018-06-28
1578060349 Ivy Creek of Elmore, LLC Clinic/Center 4412 Hogan Rd, Deatsville, AL 36022-3400 2018-04-09
1568915106 Physicians Care of Grove Hill LLC Clinic/Center 127 Clark St Ste C&d, Grove Hill, AL 36451-3050 2016-08-01
1205294428 Red Bay Hospital Outpatient Clinics LLC Clinic/Center 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 2016-02-02
1972985968 Athens Limestone Pediatric Center LLC Clinic/Center 101 Fitness Way Ste 2100, Athens, AL 35611-2494 2015-06-25
1396125258 D W Mcmillan Memorial Hospital Clinic/Center 1674 Cleveland Ave, Castleberry, AL 36432 2015-06-05
Find all providers with the same taxonomy

Competitor

Search similar providers

City EVERGREEN
Zip Code 36401

Improve Information

Please comment or provide details below to improve the information on EVERGREEN MEDICAL CENTER LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches