| Cahaba Medical Care Foundation | |
|
195 Hospital Dr Centreville AL 35042-2935 | |
| (205) 926-2992 | |
| (205) 926-2993 |
| Full Name | Cahaba Medical Care Foundation |
|---|---|
| Speciality | Clinic/Center |
| Location | 195 Hospital Dr, Centreville, Alabama |
| Authorized Official Name and Position | John Bryan Waits (CEO) |
| Authorized Official Contact | 2059262992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cahaba Medical Care Foundation 195 Hospital Dr Centreville AL 35042-2935 Ph: (205) 926-2992 | Cahaba Medical Care Foundation 195 Hospital Dr Centreville AL 35042-2935 Ph: (205) 926-2992 |
| NPI Number | 1316201809 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 06/05/2017 |
| Medicare PECOS PAC ID | 1355597923 |
|---|---|
| Medicare Enrollment ID | O20120814000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316201809 | NPI | - | NPPES |
| 01-1029 | Other | AL | MEDICARE PTAN |
| 01-1030 | Other | AL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Cahaba Medical Care Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 294 Pierson Avenue, Centreville, AL 35042 Phone: 205-926-2992 Fax: 205-926-2993 | |
Cahaba Medical Care Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Belcher St, Centreville, AL 35042 Phone: 205-926-2992 | |
Cahaba Medical Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Hospital Dr, Centreville, AL 35042 Phone: 205-926-2992 Fax: 205-926-2993 | |
Cahaba Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Belcher St, Centreville, AL 35042 Phone: 205-926-2992 Fax: 205-926-2993 | |
Cahaba Medical Care Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Walnut St, Centreville, AL 35042 Phone: 205-926-2992 | |
Cahaba Medical Care Foundation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 Belcher St, Centreville, AL 35042 Phone: 205-926-2992 |