Healthcare Provider Details

I. General information

NPI: 1982162962
Provider Name (Legal Business Name): LAKELAND COMMUNITY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2019
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42030 HIGHWAY 195 STE A
HALEYVILLE AL
35565-7054
US

IV. Provider business mailing address

42024 HIGHWAY 195
HALEYVILLE AL
35565-7054
US

V. Phone/Fax

Practice location:
  • Phone: 205-485-7227
  • Fax: 205-485-7229
Mailing address:
  • Phone: 205-485-7227
  • Fax: 205-485-7229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHERIE LYNN SIBLEY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: FACHE
Phone: 205-485-7152