Healthcare Provider Details

I. General information

NPI: 1043978687
Provider Name (Legal Business Name): GOOD HOPE MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 11/02/2023
Certification Date: 03/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 COUNTY ROAD 437
CULLMAN AL
35055
US

IV. Provider business mailing address

1225 COUNTY ROAD 437
CULLMAN AL
35055-0203
US

V. Phone/Fax

Practice location:
  • Phone: 706-992-9232
  • Fax:
Mailing address:
  • Phone: 256-615-2055
  • Fax: 256-747-5219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDSAY HAWKINS HARRISON
Title or Position: CEO, NP
Credential: NP
Phone: 256-615-2055