| Calcedeaver Clinic | |
|
1080 Reservation Rd Mount Vernon AL 36560 | |
| (251) 829-9884 | |
| (251) 866-9121 |
| Full Name | Calcedeaver Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1080 Reservation Rd, Mount Vernon, Alabama |
| Authorized Official Name and Position | Susan Stiegler (DIRECTOR FAMILY HEALTH CLINICAL SER) |
| Authorized Official Contact | 2516908833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calcedeaver Clinic Po Box 2867 Mobile AL 36652-2867 Ph: (251) 690-8158 | Calcedeaver Clinic 1080 Reservation Rd Mount Vernon AL 36560 Ph: (251) 829-9884 |
| NPI Number | 1972698199 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972698199 | NPI | - | NPPES |
| 630000013 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mowa Choctaw Tribal Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1080 Red Fox Rd W, Mount Vernon, AL 36560 Phone: 251-829-9023 Fax: 855-933-1195 | |
North Mobile Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 East Coy Smith Hwy, Mount Vernon, AL 36560 Phone: 251-829-9884 Fax: 251-829-9507 |