EVERGREEN MEDICAL CENTER LLC (NPI# 1881677581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881677581 |
| Entity Type | Organization |
| Organization Name | EVERGREEN MEDICAL CENTER LLC |
| Other Organization Name | EVERGREEN HOME CARE |
| Practice Address |
308 South Main St Evergreen AL 36401 |
| Practice Telephone | 2515786800 |
| Practice Fax Number | 2515780252 |
| Mailing Telephone | 2515786800 |
| Mailing Fax Number | 2515780252 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | MRS. SHARON JONES (CFO) |
| Authorized Official Telephone | 2515782480 |
| Is Organization Subpart | Y |
| Parent Organization Name | EVERGREEN MEDICAL CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
10419 | AL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BC BS | 51043109 | 01 |
| AL | GIL7106A | 05 |
| Other Name | Type Code |
|---|---|
| Evergreen Home Care | Doing Business As Name - Organization |
| 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 |
| 1356695886 | Evergreen Medical Center LLC | Emergency Medicine | 100 Edwina Street, Evergreen, AL 36401-3319 | 2012-11-06 |
| 1427366871 | Evergreen Medical Center LLC | Clinic/Center | 100 Edwina Street, Evergreen, AL 36401-3319 | 2010-09-20 |
| Street Address |
308 SOUTH MAIN ST |
| City | EVERGREEN |
| State | AL |
| Zip Code | 36401 |
| 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 |
| 1467526038 | Evergreen Dental Center | Dentist | 100 Edwina Street, Evergreen, AL 36401 | 2006-11-17 |
| 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 |
| 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 Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188775 | Meridian4 Home Health LLC | Registered Nurse | 1813 Petticoat Way, Birmingham, AL 35215-4176 | 2020-09-15 |
| 1427608504 | Linda Dees | Registered Nurse | 2063 S Bucker Rd, Mobile, AL 36605-2356 | 2019-09-19 |
| 1720563026 | Alabama Home Health Care Providers, Inc | Registered Nurse | 3542 Rainbow Drive, Rainbow City, AL 35906 | 2018-10-02 |
| 1932685138 | Regal Healthcare Services, LLC | Registered Nurse | 1371 Barker Dr E, Mobile, AL 36608-6303 | 2018-07-11 |
| 1609366442 | Able Home Care Services, LLC | Registered Nurse | 600 South Court Street, Suite 415, Montgomery, AL 36104-4106 | 2018-05-17 |
| 1215433693 | Michaela Winfield | Registered Nurse | 2274 Brandeis Dr E, Mobile, AL 36618-1540 | 2018-04-03 |
| 1033633623 | Kelli T Vila-rosa | Registered Nurse | 512 Flint Parc Cir, Bessemer, AL 35022-6157 | 2017-07-26 |
| 1730609553 | Amber Monique Jennings | Registered Nurse | 812 Castlewood Avenue, Birmingham, AL 35206 | 2017-06-22 |
| 1801324769 | Michael Todd Owens | Registered Nurse | 200 Century Park S, Hoover, AL 35226-3948 | 2017-05-23 |
| 1891003380 | Kenneth J Allen | Registered Nurse | 2277 Buffington Rd., Boaz, AL 35956 | 2010-09-17 |
| 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.