Provider Demographics
NPI:1588779920
Name:GREENE COUNTY HOSPITAL & NURSING HOME
Entity type:Organization
Organization Name:GREENE COUNTY HOSPITAL & NURSING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PUGH
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, RN
Authorized Official - Phone:205-372-3388
Mailing Address - Street 1:509 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:EUTAW
Mailing Address - State:AL
Mailing Address - Zip Code:35462
Mailing Address - Country:US
Mailing Address - Phone:205-372-3388
Mailing Address - Fax:205-372-2716
Practice Address - Street 1:509 WILSON AVE
Practice Address - Street 2:
Practice Address - City:EUTAW
Practice Address - State:AL
Practice Address - Zip Code:35462
Practice Address - Country:US
Practice Address - Phone:205-372-3388
Practice Address - Fax:205-372-2716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL010138OtherBCBS
ALH050051HMedicaid
AL010138OtherBCBS