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NPI Code Detail

MEDICARE: GENEVA COUNTY HEALTHCARE AUTHORITY, INC.

MEDICARE: GENEVA COUNTY HEALTHCARE AUTHORITY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1273R00000XPsychiatric Hospital Unit7006AL

General Provider Information

NPI Number : 1801931944
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENEVA COUNTY HEALTHCARE AUTHORITY, INC.
Provider Business Mailing Address
First Line : 1200 W MAPLE AVE
Second Line :
City : GENEVA
State : AL
Zip : 36340-1642
Country : US
Telephone Number : 334-684-3655
Fax Number : 334-684-6564
Provider Business Practice Location Address
First Line : 1200 W MAPLE AVE
Second Line :
City : GENEVA
State : AL
Zip : 36340-1642
Country : US
Telephone Number : 334-684-3655
Fax Number : 334-684-6564
Authorized Official
Title or Position : CEO
Name : MR. CHARLES A FAULKNER
Credential :
Telephone Number : 334-684-3655
Provider Enumeration Date : 02/20/2007
Last Update Date : 01/09/2012

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Directions to “GENEVA COUNTY HEALTHCARE AUTHORITY, INC. ” Practice Location

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