Healthcare Provider Details
I. General information
NPI: 1477484954
Provider Name (Legal Business Name): LAKELAND COMMUNITY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
340 MAIN ST 340 MAIN ST
BEAR CREEK AL
35543
US
IV. Provider business mailing address
42024 HIGHWAY 195
HALEYVILLE AL
35565-7054
US
V. Phone/Fax
- Phone: 205-486-9530
- Fax: 205-430-2799
- Phone: 205-485-7248
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHERIE
SIBLEY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: FACHE
Phone: 205-485-7152