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1738 Cleveland Ave Castleberry AL 36432 | |
(251) 966-5440 | |
(251) 966-5396 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1738 Cleveland Ave, Castleberry, Alabama |
Authorized Official Name and Position | Marilyn J Sawyer (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2515781163 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 726 Evergreen AL 36401-0726 Ph: (251) 578-1163 | 1738 Cleveland Ave Castleberry AL 36432 Ph: (251) 966-5440 |
NPI Number | 1609906395 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 04/07/2008 |
Identifier | Type | State | Issuer |
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1609906395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |