Provider Demographics
NPI:1376901686
Name:HALE COUNTY HOSPITAL
Entity Type:Organization
Organization Name:HALE COUNTY HOSPITAL
Other - Org Name:MOUNDVILLE MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAY
Authorized Official - Middle Name:F
Authorized Official - Last Name:WHALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-624-3024
Mailing Address - Street 1:40870 AL HIGHWAY 69
Mailing Address - Street 2:
Mailing Address - City:MOUNDVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35474-4366
Mailing Address - Country:US
Mailing Address - Phone:205-371-4444
Mailing Address - Fax:
Practice Address - Street 1:40870 AL HIGHWAY 69
Practice Address - Street 2:
Practice Address - City:MOUNDVILLE
Practice Address - State:AL
Practice Address - Zip Code:35474-4366
Practice Address - Country:US
Practice Address - Phone:205-371-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health