| NPI | 1306885728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE ALEXANDER Administrator 256-357-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital Rural (Licence: AL 11219) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2013-09-12 |