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General NPI Number Information
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NPI Number | 1114927639
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Entity Type | Organization
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Legal Business Name | HALE COUNTY HOSPITAL
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Dates
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Enumeration Date | 07/27/2005
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 506 GREENE STREET
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City | GREENSBORO
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State | AL
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Zip | 36744-2316
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Country | US
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Telephone | 334-624-3066
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Fax | 334-624-3011
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Provider Business Mailing Address
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Address Line | 506 GREENE STREET
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City | GREENSBORO
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State | AL
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Zip | 36744-2316
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Country | US
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Telephone | 334-624-3066
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Fax | 334-624-3011
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | THOMAS O LACKEY
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Credential |
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Telephone | 334-624-3024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 10354
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License Number State | AL
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