| Mental Healthcare Of Cullman | |
|
1909 Commerce Ave Cullman AL 35055-6151 | |
| (256) 734-4688 | |
| (256) 736-5638 |
| Full Name | Mental Healthcare Of Cullman |
|---|---|
| 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 |
|---|---|
| Mental Healthcare Of Cullman Po Box 2186 Cullman AL 35056-2186 Ph: (256) 734-4688 | Mental Healthcare Of Cullman 1909 Commerce Ave Cullman AL 35055-6151 Ph: (256) 734-4688 |
| NPI Number | 1700989589 |
|---|---|
| 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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