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1910 Cherokee Ave Sw Cullman AL 35055-5502 | |
| (256) 739-3500 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1910 Cherokee Ave Sw, Cullman, Alabama |
| Authorized Official Name and Position | S Ray Coffey (VP, REIMBURSEMENT) |
| Authorized Official Contact | 6157643009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
501 Corporate Centre Dr Ste 200 Franklin TN 37067-2662 Ph: (615) 764-3009 | 1910 Cherokee Ave Sw Cullman AL 35055-5502 Ph: (256) 739-3500 |
| NPI Number | 1114999406 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 06/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114999406 | NPI | - | NPPES |
| HOS0143H | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 10338 (Alabama) | Primary |
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