Nicole M Laird Crnp
LBN: Evergreen Medical Center Llc
Nicole M Laird Crnp is an health care organization with primary practice located at 106 Edwina St , Evergreen AL 36401-3319. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Evergreen Medical Center Llc can be contacted via phone (251) 578-4300, or through Jones, Sharon via phone (251) 578-2480.
Contact Information
Primary practice address
106 Edwina St
Evergreen AL 36401-3319
Phone: (251) 578-4300
Fax: (251) 578-4307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19723 | Alabama |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | H1801 | Alabama |
Profile Details
| NPI number | 1891904223 |
|---|---|
| LBN Legal business name | Evergreen Medical Center Llc |
| DBA Doing business as | Nicole M Laird Crnp |
| Authorized official | Jones, Sharon |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Apr 20th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891904223 | NPPES |
| Alabama | Other | 529933018 | MEDICAID PAYEE |
| Alabama | Other | 529906180 | MEDICAID PAYEE |
| Alabama | Other | 510G700111 | MEDICAID PAYEE |
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