Healthcare Provider Details

I. General information

NPI: 1225014475
Provider Name (Legal Business Name): HAMILTON HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3317 HIGHWAY 63
PHIL CAMPBELL AL
35581-4969
US

IV. Provider business mailing address

3317 HIGHWAY 63
PHIL CAMPBELL AL
35581-4969
US

V. Phone/Fax

Practice location:
  • Phone: 256-331-0500
  • Fax: 256-331-0549
Mailing address:
  • Phone: 256-331-0500
  • Fax: 256-331-0549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number10829
License Number StateAL

VIII. Authorized Official

Name: DEBORAH ANN HAMILTON
Title or Position: PRESIDENT/CEO
Credential:
Phone: 256-331-0500