GREENE COUNTY HOSPITAL & NURSING HOME (NPI# 1588779920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588779920 |
| Entity Type | Organization |
| Organization Name | GREENE COUNTY HOSPITAL & NURSING HOME |
| Practice Address |
509 Wilson Ave Eutaw AL 35462 |
| Practice Telephone | 2053723388 |
| Practice Fax Number | 2053722716 |
| Mailing Telephone | 2053723388 |
| Mailing Fax Number | 2053722716 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MR. MARK CHUSTZ (ADMINISTRATOR) |
| Authorized Official Telephone | 2053723388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 010138 | 01 |
| AL | H050051H | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043389398 | Greene County Hospital & Nursing Home | Clinic/Center | 607 Wilson Ave, Eutaw, AL 35462 | 2006-11-08 |
| 1942301569 | Greene County Hospital & Nursing Home | Skilled Nursing Facility | 509 Wilson Ave, Eutaw, AL 35462-1064 | 2006-09-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREENE COUNTY HOSPITAL & NURSING HOME | 509 Wilson Ave, Eutaw, AL 35462-1064 |
| Street Address |
509 WILSON AVE |
| City | EUTAW |
| State | AL |
| Zip Code | 35462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144644279 | Kurtizzia Carnealia Howard | Nurse Practitioner | 509 Wilson Ave, Eutaw, AL 35462-1064 | 2014-02-10 |
| 1962831313 | Cheryl Hill | Nurse Practitioner | 509 Wilson Ave, Eutaw, AL 35462-1064 | 2013-11-06 |
| 1942301569 | Greene County Hospital & Nursing Home | Skilled Nursing Facility | 509 Wilson Ave, Eutaw, AL 35462-1064 | 2006-09-26 |
| 1538262076 | Jamil Meloelain | Internal Medicine | 509 Wilson Ave, Eutaw, AL 35462-1064 | 2006-09-07 |
| 1447353982 | Salahuddin Farooqui | Internal Medicine | 509 Wilson Ave, Eutaw, AL 35462-1064 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447457999 | David H. Crump | Dentist | 112 Prairie Avenue, Eutaw, AL 35462 | 2007-06-28 |
| 1043389398 | Greene County Hospital & Nursing Home | Clinic/Center | 607 Wilson Ave, Eutaw, AL 35462 | 2006-11-08 |
| 1952470205 | Greene County Hospital Home Health | Home Health | 607 Wilson Ave, Eutaw, AL 35462 | 2006-11-08 |
| 1912176348 | State of Alabama | Public Health or Welfare | Highway 43 South, Eutaw, AL 35462-0311 | 2008-02-29 |
| 1558567917 | Greene County | Local Education Agency (LEA) | 220 Main St, Eutaw, AL 35462-1002 | 2007-06-22 |
| 1336179209 | Greene County Eye Clinic, LLC | Optometrist | 511 Wilson Ave, Eutaw, AL 35462-1064 | 2006-07-04 |
| 1942206461 | Greene County Ambulance Services | Ambulance | 116 Main St, City Hall, Eutaw, AL 35462-1104 | 2005-06-21 |
| 1831133958 | Whatley Health Services Inc | Clinic/Center | 200 Morrow Ave, Eutaw, AL 35462-1106 | 2006-06-16 |
| 1457671489 | Dana L Todd | Family Medicine | 200 Morrow Ave, Eutaw, AL 35462-1106 | 2010-06-01 |
| 1750464301 | Solomon Drug Co., Inc. | Durable Medical Equipment & Medical Supplies | 306 Morrow Ave, Eutaw, AL 35462-1108 | 2006-10-24 |
| Find all providers in zip 35462 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992812382 | Professional Resources Management, Inc. | General Acute Care Hospital | 102 Conecuh Ave W, Union Springs, AL 36089-1303 | 2006-08-23 |
| 1598770943 | Gilliard Health Services | General Acute Care Hospital | 220 Hospital Dr, Jackson, AL 36545-2459 | 2006-07-31 |
| 1255376828 | The Bibb County Healthcare Authority | General Acute Care Hospital | 208 Pierson Ave, Centreville, AL 35042-2918 | 2006-06-18 |
| 1417306663 | Cullman Regional Medical Center | General Acute Care Hospital | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2016-06-08 |
| 1033579024 | St. Vincent's East Family Practice | General Acute Care Hospital | 2152 Old Springville Rd, Center Point, AL 35215-4005 | 2016-03-03 |
| 1255776639 | D. W. Mcmillan Memorial Hospital | General Acute Care Hospital | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2013-04-30 |
| 1922442755 | Mohamad Moustapha El Khatib | General Acute Care Hospital | 101 Fitness Way, Suite 2100, Athens, AL 35611-2480 | 2013-04-23 |
| 1770814626 | Troy Hospital Health Care Authority | General Acute Care Hospital | 1330 Highway 231 S, Troy, AL 36081-3058 | 2010-01-15 |
| 1841453644 | Citizens Baptist Medical Center | General Acute Care Hospital | 604 Stone Ave, Talladega, AL 35160-2217 | 2008-07-02 |
| 1083885313 | Grove Hill Memorial Hospital Emer Room | General Acute Care Hospital | 295 S Jackson St, Grove Hill, AL 36451-3231 | 2008-03-14 |
| Find all providers with the same taxonomy | ||||
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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.