Cleburne Quality Health Care | |
64 Giles St Heflin AL 36264-1738 | |
(256) 463-2021 | |
Not Available |
Full Name | Cleburne Quality Health Care |
---|---|
Speciality | Clinic/Center |
Location | 64 Giles St, Heflin, Alabama |
Authorized Official Name and Position | Wayne Rowe (CEO) |
Authorized Official Contact | 2564920131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cleburne Quality Health Care Po Box 97 Gadsden AL 35902-0097 Ph: (256) 492-0131 | Cleburne Quality Health Care 64 Giles St Heflin AL 36264-1738 Ph: (256) 463-2021 |
NPI Number | 1467620989 |
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Provider Enumeration Date | 02/19/2008 |
Last Update Date | 03/10/2014 |
Medicare PECOS PAC ID | 7810890902 |
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Medicare Enrollment ID | O20080229000546 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467620989 | NPI | - | NPPES |
100370 | Medicaid | AL | |
E-948 | Other | AL | MEDICARE PART B PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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