Healthcare Provider Details

I. General information

NPI: 1982941381
Provider Name (Legal Business Name): COMMUNITY HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2013
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 FRIENDSHIP RD
TALLASSEE AL
36078-1234
US

IV. Provider business mailing address

875 FRIENDSHIP RD
TALLASSEE AL
36078-1234
US

V. Phone/Fax

Practice location:
  • Phone: 334-283-3111
  • Fax:
Mailing address:
  • Phone: 334-283-3111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LEE S GREER
Title or Position: CFO
Credential:
Phone: 334-283-3754