Healthcare Provider Details

I. General information

NPI: 1316997430
Provider Name (Legal Business Name): GROVE HILL MEMORIAL HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 S JACKSON ST
GROVE HILL AL
36451-3231
US

IV. Provider business mailing address

PO BOX 915
GROVE HILL AL
36451-0915
US

V. Phone/Fax

Practice location:
  • Phone: 251-275-2286
  • Fax:
Mailing address:
  • Phone: 251-275-2286
  • Fax: 251-275-3382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KENNETH WILSON LARRIMORE
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 251-275-3173