=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023917176
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FOLEY HB MEDICAL SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/04/2026
-----------------------------------------------------
Last Update Date | 11/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1613 N MCKENZIE ST
-----------------------------------------------------
City | FOLEY
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36535-2247
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 251-949-3400
-----------------------------------------------------
Fax | 659-235-6176
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 680060
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37068-0060
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-596-3582
-----------------------------------------------------
Fax | 659-235-6176
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SR. DIRECTOR, HOSPITAL BASED OPS
-----------------------------------------------------
Name | WENDI KEETON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 615-628-6507
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207P00000X
-----------------------------------------------------
Taxonomy Name | Emergency Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------