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NPI Code Detail

MEDICARE: GENEVA COUNTY HEALTHCARE AUTHORITY, INC.

MEDICARE: GENEVA COUNTY HEALTHCARE AUTHORITY, INC.
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
1282N00000XGeneral Acute Care Hospital11807AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010120OTHERALBCBS OF ALABAMA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992755292
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENEVA COUNTY HEALTHCARE AUTHORITY, INC.
Provider Business Mailing Address
First Line : 1200 W MAPLE AVE
Second Line :
City : GENEVA
State : AL
Zip : 36340-1642
Country : US
Telephone Number : 334-684-3655
Fax Number : 334-684-6564
Provider Business Practice Location Address
First Line : 1200 W MAPLE AVE
Second Line :
City : GENEVA
State : AL
Zip : 36340-1642
Country : US
Telephone Number : 334-684-3655
Fax Number : 334-684-6564
Authorized Official
Title or Position : CEO
Name : JANET SMITH
Credential :
Telephone Number : 334-684-3655
Provider Enumeration Date : 05/10/2006
Last Update Date : 11/13/2024

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1568520369 — DAVID HYATT POPE MD
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1801931944 — GENEVA COUNTY HEALTHCARE AUTHORITY, INC.
Practice Location Address:
1200 W MAPLE AVE
GENEVA, AL
36340-1642
Practice Phone: 334-684-3655
Practice Fax: 334-684-6564

Directions to “GENEVA COUNTY HEALTHCARE AUTHORITY, INC. ” Practice Location

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