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NPI Code Detail

MEDICARE: THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI

MEDICARE: THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI
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
1273R00000XPsychiatric Hospital Unit10318AL

General Provider Information

NPI Number : 1811968308
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI
Provider Business Mailing Address
First Line : 29 L V STABLER DR
Second Line :
City : GREENVILLE
State : AL
Zip : 36037-3850
Country : US
Telephone Number : 334-383-2423
Fax Number : 334-382-0305
Provider Business Practice Location Address
First Line : 29 L V STABLER DR
Second Line :
City : GREENVILLE
State : AL
Zip : 36037-3850
Country : US
Telephone Number : 334-382-2671
Fax Number :
Authorized Official
Title or Position : CFO
Name : DAVID GLENN WILCOX
Credential : CPA
Telephone Number : 334-383-2423
Provider Enumeration Date : 02/01/2006
Last Update Date : 02/26/2018

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Directions to “THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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