| |
1909 Commerce Ave Cullman AL 35055-6151 | |
(256) 734-4688 | |
(256) 736-5638 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1909 Commerce Ave, Cullman, Alabama |
Authorized Official Name and Position | Chris Vandyke (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2567344688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2186 Cullman AL 35056-2186 Ph: (256) 734-4688 | 1909 Commerce Ave Cullman AL 35055-6151 Ph: (256) 734-4688 |
NPI Number | 1700989589 |
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Provider Enumeration Date | 09/06/2006 |
Last Update Date | 08/13/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700989589 | NPI | - | NPPES |
08814 | Other | AL | PPO CONTRACT |
51008814 | Other | AL | ALL KIDS |
590000025 | Medicaid | AL | |
529923460 | Medicaid | AL | |
051008814 | Other | AL | BLUE CROSS BLUE SHIELD PEEHIP |
590034025 | Medicaid | AL | |
051008814 | Other | AL | BLUE CROSS BLUE SHIELD SEIB |
330000025 | Medicaid | AL | |
330034025 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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