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Fayette Medical Center
Community Based Hospice Care Agency in Fayette, Alabama
NPI 1629152822

Fayette Medical Center is a Community Based Hospice Care Agency based in Fayette, AL. Fayette Medical Center practices in Fayette, AL. The NPI Number for Fayette Medical Center is 1629152822 and holds a License No. 11656 (Alabama).

The current practice location address for Fayette Medical Center is 120 15Th Street Nw, Fayette, AL and can be reached out via phone at 205-932-8057 and via fax at 205-932-8054.

Location: 120 15Th Street Nw, Fayette, AL, 35555-0710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629152822
Provider Name
Fayette Medical Center
Credential
Provider Entity Type
Organization
Address
120 15Th Street Nw, Fayette, AL, 35555-0710
Phone Number
205-932-8057
Fax Number
205-932-8054
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PIC1540E 05 AL
011549 01 AL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
120 15Th Street Nw
City
Fayette
State
Alabama
Zip
35555-1526
Phone Number
205-932-8057
Fax Number
205-932-8054
person
Provider Business Mailing Address Details
Address
120 15Th Street Nw
City
Fayette
State
Alabama
Zip
35555-1526
Phone Number
205-932-8057
Fax Number
205-932-8054
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
11656 (Alabama)
Definition
Definition to come...
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