CCN: 011655 NPI: 1639112410 Organization

SOUTHERNCARE GREENVILLE

501 E COMMERCE ST
GREENVILLE, AL 360372313

Contact Information

Phone 3343821406
Fax 3343821409
Enumeration Date 2006-06-13
Last Updated 2023-06-07

Taxonomies

Code: 251G00000X (Primary) License State: AL License: 10525

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 99901

providerType 35

censusDivision 5

cbsaActualGeographicLocation 99901

providerType 35

censusDivision 5

cbsaActualGeographicLocation 99901

providerType 35

censusDivision 5

cbsaActualGeographicLocation 99901

providerType 35

censusDivision 5

cbsaActualGeographicLocation 99901

providerType 35

censusDivision 5

cbsaActualGeographicLocation 99901

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 01

providerType 35

specialPaymentIndicator

carrierCode 10112

localityCode 00