| Eliza Coffee Medical Center - Ip Psych | |
|
205 Marengo St Attn: Facility Ceo Florence AL 35630-6033 | |
| (256) 768-9417 | |
| (256) 768-9420 |
| Full Name | Eliza Coffee Medical Center - Ip Psych |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 205 Marengo St, Florence, Alabama |
| Authorized Official Name and Position | Stephen L. Page (VICE PRESIDENT) |
| Authorized Official Contact | 6158449849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eliza Coffee Medical Center - Ip Psych 205 Marengo St Attn: Facility Ceo Florence AL 35630-6033 Ph: (256) 768-9417 | Eliza Coffee Medical Center - Ip Psych 205 Marengo St Attn: Facility Ceo Florence AL 35630-6033 Ph: (256) 768-9417 |
| NPI Number | 1578877817 |
|---|---|
| Provider Enumeration Date | 07/28/2010 |
| Last Update Date | 01/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578877817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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