Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeland Community Hospital LLC

Organization Anesthesiology Physician · NPI 1457495574

Lakeland Community Hospital LLC is an Anesthesiology Physician in Haleyville, Alabama. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

42024 Highway 195
Haleyville, AL 35565-7054
Phone: (205) 486-5213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1457495574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Bivacca — President · (615) 920-7000
NPI enumeratedFebruary 20, 2007
Last updated in NPPESNovember 7, 2014
Mailing address330 Seven Springs Way, Brentwood, TN 37027-4536

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