GOVE HILL MEMORIAL HOSPITAL, INC (NPI# 1497989370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497989370 |
| Entity Type | Organization |
| Organization Name | GOVE HILL MEMORIAL HOSPITAL, INC |
| Other Organization Name | SOUTHERN OAK PSYC CLINIC |
| Practice Address |
295 South Jackson Street Grove Hill AL 36451-0935 |
| Mailing Address |
P O Box 935 Grove Hill AL 36451-0935 |
| Practice Telephone | 2512753191 |
| Practice Fax Number | 2512754281 |
| Mailing Telephone | 2512753191 |
| Mailing Fax Number | 2512754281 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | CORNELIA P OVERSTREET (INSURANCE MANAGER) |
| Authorized Official Telephone | 2512754043 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | AL | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Southern Oak Psyc Clinic | Doing Business As Name - Organization |
| Street Address |
295 SOUTH JACKSON STREET |
| City | GROVE HILL |
| State | AL |
| Zip Code | 36451-0935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964389 | Bessie King | Registered Nurse | 926 Cater Drive, Grove Hill, AL 36451 | 2019-04-22 |
| 1396295960 | Mark Anthony Lynn Jr. | Registered Nurse | 926 Carter Drive, Grove Hill, AL 36451 | 2016-10-07 |
| 1780969642 | Latasha R Burroughs | Registered Nurse | 300 Carter Drive, Grove Hill, AL 36451 | 2011-10-11 |
| 1568762201 | Valerie Sellers | Licensed Practical Nurse | 129 Clark St., Grovehill, AL 36451 | 2010-10-28 |
| 1376664276 | Clarke County | Local Education Agency (LEA) | 155 W. Cobb St., Grove Hill, AL 36451 | 2007-04-02 |
| 1083751929 | Mcvays Home Care Rental & Sale | Durable Medical Equipment & Medical Supplies | 179 Hwy 43, Grove Hill, AL 36451 | 2007-01-31 |
| 1467547562 | City Drugs of Grove Hill, Inc. | Pharmacy | 123 S. Jackson St, Grove Hill, AL 36451 | 2006-10-04 |
| 1558468173 | Victor Clarence Hawkins | Dentist | 297 C South Jackson St, Grove Hill, AL 36451 | 2006-09-17 |
| 1376576280 | Dewey Rex Chalk | Chiropractor | 118 Clark St, Grove Hill, AL 36451 | 2006-07-07 |
| 1982604260 | Debbie Harris Larose | Pharmacist | 123 Jackson St., Grove Hill, AL 36451 | 2005-07-28 |
| Find all providers in zip 36451 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457504 | Elaine Joy Mahoney | Clinical Neuropsychologist | 1717 6th Ave S # Src190, Birmingham, AL 35233-1801 | 2020-04-28 |
| 1669896809 | Emma Lee Peden | Clinical Neuropsychologist | 702 Carr Cir, Headland, AL 36345-1916 | 2014-02-07 |
| 1083958813 | William Jeffrey Bryson | Clinical Neuropsychologist | 250 Chateau Dr Sw Ste 145, Huntsville, AL 35801-6437 | 2012-11-16 |
| 1376893032 | Thomas Joseph Conboy | Clinical Neuropsychologist | 1200 14th St, Suite A, Phenix City, AL 36867-4907 | 2012-09-10 |
| 1295025997 | Sharon D Waltz | Clinical Neuropsychologist | 1365 Caliston Way, Pelham, AL 35124 | 2011-04-14 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1548493000 | Henry R. Griffith, Ph.d. | Clinical Neuropsychologist | 1025 23rd St S, Suite 100, Magnolia Financial Building, Birmingham, AL 35205-2499 | 2009-09-01 |
| 1013193010 | Joanna T Koulianos | Clinical Neuropsychologist | 22 N Florida St, Mobile, AL 36607-3108 | 2008-01-21 |
| 1093996985 | Neuropsychology Clinic | Clinical Neuropsychologist | 2804 20th Ave, Northport, AL 35476-3835 | 2007-11-19 |
| 1912108838 | Neurolife, LLC | Clinical Neuropsychologist | 7501 Memorial Pkwy Sw, Suite 101, Huntsville, AL 35802-2204 | 2007-05-29 |
| Find all providers with the same taxonomy | ||||
| City | GROVE HILL |
| Zip Code | 36451 |
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| 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.