| Organization Name: | FAYETTE MEDICAL CENTER |
| NPI Number: | 1629152822 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARRY S. COCHRAN (ADMINISTRATOR) |
| Mailing Address: | 120 15th Street Nw Fayette |
| State: | AL US |
| Postal Code: | 355551526 |
| Phone Number: | 2059328057 |
| Fax Number: | 2059328054 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 03/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 11656 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |