Healthcare Provider Details

I. General information

NPI: 1376901686
Provider Name (Legal Business Name): HALE COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2016
Last Update Date: 02/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40870 AL HIGHWAY 69
MOUNDVILLE AL
35474-4366
US

IV. Provider business mailing address

40870 AL HIGHWAY 69
MOUNDVILLE AL
35474-4366
US

V. Phone/Fax

Practice location:
  • Phone: 205-371-4444
  • Fax:
Mailing address:
  • Phone: 205-371-4444
  • Fax:

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: MS. SHAY F WHALEY
Title or Position: CEO
Credential:
Phone: 334-624-3024