| |
210 Highway 59 Uriah AL 36480-5374 | |
(251) 432-4117 | |
(251) 436-7765 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 210 Highway 59, Uriah, Alabama |
Authorized Official Name and Position | Charles N/a White (CEO) |
Authorized Official Contact | 2514324117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2048 Mobile AL 36652-2048 Ph: (251) 432-4117 | 210 Highway 59 Uriah AL 36480-5374 Ph: (251) 432-4117 |
NPI Number | 1881014371 |
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Provider Enumeration Date | 04/23/2014 |
Last Update Date | 08/30/2022 |
Certification Date | 08/30/2022 |
Identifier | Type | State | Issuer |
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1881014371 | NPI | - | NPPES |