Provider Demographics
NPI:1225014475
Name:HAMILTON HEALTHCARE, INC.
Entity Type:Organization
Organization Name:HAMILTON HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-331-0500
Mailing Address - Street 1:3317 HIGHWAY 63
Mailing Address - Street 2:
Mailing Address - City:PHIL CAMPBELL
Mailing Address - State:AL
Mailing Address - Zip Code:35581-4969
Mailing Address - Country:US
Mailing Address - Phone:256-331-0500
Mailing Address - Fax:256-331-0549
Practice Address - Street 1:3317 HIGHWAY 63
Practice Address - Street 2:
Practice Address - City:PHIL CAMPBELL
Practice Address - State:AL
Practice Address - Zip Code:35581-4969
Practice Address - Country:US
Practice Address - Phone:256-331-0500
Practice Address - Fax:256-331-0549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10829293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory