Provider Demographics
NPI:1699005157
Name:HALE COUNTY HOSPITAL
Entity Type:Organization
Organization Name:HALE COUNTY HOSPITAL
Other - Org Name:HALE COUNTY HOSPITAL SWING BED UNIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAY
Authorized Official - Middle Name:FONDREN
Authorized Official - Last Name:WHALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-624-3024
Mailing Address - Street 1:508 GREENE ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:36744-2316
Mailing Address - Country:US
Mailing Address - Phone:334-624-3024
Mailing Address - Fax:334-624-4453
Practice Address - Street 1:508 GREENE ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:AL
Practice Address - Zip Code:36744-2316
Practice Address - Country:US
Practice Address - Phone:334-624-3024
Practice Address - Fax:334-624-4453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALH3301275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01U095Medicare Oscar/Certification