| Organization Name: | HUNTSVILLE HOSPITAL MEDICAL CLINIC AT HAMPTON CO |
| NPI Number: | 1154641520 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER BLANKENSHIP (CFO) |
| Mailing Address: | 262 Sutton Road Owens Cross Roads |
| State: | AL US |
| Postal Code: | 357638753 |
| Phone Number: | 2562650350 |
| Fax Number: | 2562650357 |
| NPI Enumeration Date: | 06/08/2010 |
| NPI Last Update Date: | 01/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |