| Gadsden Regional Medical Center Llc | |
|
1007 Goodyear Ave Gadsden AL 35903-1195 | |
| (256) 494-4585 | |
| (256) 494-4474 |
| Full Name | Gadsden Regional Medical Center Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1007 Goodyear Ave, Gadsden, Alabama |
| Authorized Official Name and Position | Paula M Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gadsden Regional Medical Center Llc Po Box 404799 Atlanta GA 30384-4799 Ph: (256) 494-4585 | Gadsden Regional Medical Center Llc 1007 Goodyear Ave Gadsden AL 35903-1195 Ph: (256) 494-4585 |
| NPI Number | 1255355020 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 04/01/2021 |
| Certification Date | 04/01/2021 |
| Medicare PECOS PAC ID | 7113839036 |
|---|---|
| Medicare Enrollment ID | O20061228000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255355020 | NPI | - | NPPES |
| HOS0040H | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | H2801 (Alabama) | Primary |
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