MEDICARE: D.W. MCMILLAN MEMORIAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center	11799	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497852735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D.W. MCMILLAN MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 997
Second Line	:
City	:	FLOMATON
State	:	AL
Zip	:	36441-0997
Country	:	US
Telephone Number	:	251-296-2456
Fax Number	:	251-296-0320

Provider Business Practice Location Address
First Line	:	174 HIGHWAY 113
Second Line	:
City	:	FLOMATON
State	:	AL
Zip	:	36441-0174
Country	:	US
Telephone Number	:	251-296-2456
Fax Number	:	251-296-0320

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. STACY HINES
Credential	:
Telephone Number	:	251-809-8429

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/21/2022

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Directions to “D.W. MCMILLAN MEMORIAL HOSPITAL ” Practice Location

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