GREENE COUNTY HOSPITAL & NURSING HOME (NPI# 1043389398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043389398 |
| Entity Type | Organization |
| Organization Name | GREENE COUNTY HOSPITAL & NURSING HOME |
| Other Organization Name | GREENE COUNTY HOSPITAL PHYSICIANS' CLINIC |
| Practice Address |
607 Wilson Ave Eutaw AL 35462 |
| Practice Telephone | 2053724035 |
| Practice Fax Number | 2053721228 |
| Mailing Telephone | 2053724035 |
| Mailing Fax Number | 2053721228 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MR. ELMORE PATTERSON (CEO) |
| Authorized Official Telephone | 2053723388 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | Y |
| Parent Organization Name | GREENE COUNTY HOSPITAL & NURSING HOME |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 55890030 | 05 |
| Other Name | Type Code |
|---|---|
| Greene County Hospital Physicians' Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588779920 | Greene County Hospital & Nursing Home | General Acute Care Hospital | 509 Wilson Ave, Eutaw, AL 35462 | 2006-08-19 |
| 1942301569 | Greene County Hospital & Nursing Home | Skilled Nursing Facility | 509 Wilson Ave, Eutaw, AL 35462-1064 | 2006-09-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREENE COUNTY HOSPITAL & NURSING HOME | 509 Wilson Ave, Eutaw, AL 35462-1064 |
| Street Address |
607 WILSON AVE |
| City | EUTAW |
| State | AL |
| Zip Code | 35462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356355374 | Thomas D Mcdermott | Internal Medicine | 607 Wilson Ave, Eutaw, AL 35462-1136 | 2006-07-27 |
| 1285946863 | Greene County Health System Home Health Agency | Home Health | 607 Wilson Ave, Suite 3, Eutaw, AL 35462-1136 | 2010-07-12 |
| 1407052020 | Carroll Belinda Hogue | Nurse Practitioner | 607 Wilson Ave, Suite 1, Eutaw, AL 35462-1136 | 2007-06-21 |
| 1952470205 | Greene County Hospital Home Health | Home Health | 607 Wilson Ave, Eutaw, AL 35462 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447457999 | David H. Crump | Dentist | 112 Prairie Avenue, Eutaw, AL 35462 | 2007-06-28 |
| 1588779920 | Greene County Hospital & Nursing Home | General Acute Care Hospital | 509 Wilson Ave, Eutaw, AL 35462 | 2006-08-19 |
| 1912176348 | State of Alabama | Public Health or Welfare | Highway 43 South, Eutaw, AL 35462-0311 | 2008-02-29 |
| 1558567917 | Greene County | Local Education Agency (LEA) | 220 Main St, Eutaw, AL 35462-1002 | 2007-06-22 |
| 1336179209 | Greene County Eye Clinic, LLC | Optometrist | 511 Wilson Ave, Eutaw, AL 35462-1064 | 2006-07-04 |
| 1144644279 | Kurtizzia Carnealia Howard | Nurse Practitioner | 509 Wilson Ave, Eutaw, AL 35462-1064 | 2014-02-10 |
| 1962831313 | Cheryl Hill | Nurse Practitioner | 509 Wilson Ave, Eutaw, AL 35462-1064 | 2013-11-06 |
| 1942301569 | Greene County Hospital & Nursing Home | Skilled Nursing Facility | 509 Wilson Ave, Eutaw, AL 35462-1064 | 2006-09-26 |
| 1538262076 | Jamil Meloelain | Internal Medicine | 509 Wilson Ave, Eutaw, AL 35462-1064 | 2006-09-07 |
| 1447353982 | Salahuddin Farooqui | Internal Medicine | 509 Wilson Ave, Eutaw, AL 35462-1064 | 2006-09-07 |
| Find all providers in zip 35462 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670080 | Altadena Eye Care | Clinic/Center | 2409 Acton Rd Ste 161, Vestavia, AL 35243-2939 | 2020-08-17 |
| 1447877584 | Northern Lights Chiropractic L.L.C. | Clinic/Center | 2709 19th Pl S, Homewood, AL 35209-1919 | 2020-07-05 |
| 1033736749 | Psychotherapy/ Clinical Services LLC | Clinic/Center | 2622 Jordan Ln Nw, Huntsville, AL 35816-1014 | 2020-06-29 |
| 1598384265 | Ivy Leaf Health & Wellness LLC | Clinic/Center | 5585 Park Side Cir, Hoover, AL 35244-5124 | 2020-04-13 |
| 1083240618 | Patricia Kyl Padgett | Clinic/Center | 3206 20th Ave, Valley, AL 36854-2951 | 2020-03-16 |
| 1659905610 | Valley Vascular Access Center, LLC | Clinic/Center | 4700 Whitesburg Dr Sw Ste 300, Huntsville, AL 35802-1685 | 2020-02-28 |
| 1508407990 | Harrison Medical Consulting LLC | Clinic/Center | 146 Augusta Trl, Cullman, AL 35057-6990 | 2019-10-07 |
| 1174188650 | Clears Clinic Corporation | Clinic/Center | 28720 Us Highway 98 Ste 1, Daphne, AL 36526-7268 | 2019-05-09 |
| 1255892865 | Diabetes and Wellness Clinic of The Shoals | Clinic/Center | 1110 E 6th St Suite E, Muscle Shoals, AL 35661 | 2019-03-27 |
| 1558826818 | Healthcare and Beyond, LLC | Clinic/Center | 13951 Highway 231 431 N, Hazel Green, AL 35750-8651 | 2019-01-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.