Basic Information
| Provider Information | |||||||||
| NPI: | 1205229887 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HH PHYSICIAN CARE HAZEL GREEN | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2705 | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358042705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565198104 | ||||||||
| FaxNumber: | 2565198327 | ||||||||
| Practice Location | |||||||||
| Address1: | 13596 HIGHWAY 231 431 N | ||||||||
| Address2: | SUITE 4 | ||||||||
| City: | HAZEL GREEN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 357508617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2564284990 | ||||||||
| FaxNumber: | 2564284991 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2015 | ||||||||
| LastUpdateDate: | 03/06/2015 | ||||||||
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| AuthorizedOfficialLastName: | POWERS | ||||||||
| AuthorizedOfficialFirstName: | KELLI | ||||||||
| AuthorizedOfficialMiddleName: | S. | ||||||||
| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 2562658818 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.