Organization · Type 2 NPI

Fayette Medical Center

Community Based Hospice Care Agency · Fayette, AL

NPI number 1629152822 Active

Practice location

120 15th Street NW
Fayette, AL 35555-1526

Call (205) 932-8057 Map

Fax (205) 932-8054

Mailing address

PO Box 710, 1653 Temple Avenue North
Fayette, AL 35555-0710

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	11656 (AL)

Community Based Hospice Care Agency: Definition to come...

NPI record

NPI: 1629152822
Entity type: Organization (Type 2)
Issued: Oct 24, 2006
Last updated: Jan 12, 2021
Status: Active

Other names

<unavail>
Hospice of Fayette Medical Center · doing business as
Hospice of Fayette Medical Center · doing business as

Authorized official

Keri Henley Hindman
Patient Accounts Director
(205) 759-7378

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629152822

Fayette Medical Center's National Provider Identifier is 1629152822, issued on Oct 24, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Fayette, AL. The record was last updated on Jan 12, 2021.