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8225 Al Highway 75 Horton AL 35980-8473 | |
(256) 492-0131 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 8225 Al Highway 75, Horton, Alabama |
Authorized Official Name and Position | Wayne C 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 |
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Po Box 97 Gadsden AL 35902-0097 Ph: (256) 492-0131 | 8225 Al Highway 75 Horton AL 35980-8473 Ph: (256) 492-0131 |
NPI Number | 1033371562 |
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Provider Enumeration Date | 06/26/2008 |
Last Update Date | 01/06/2011 |
Medicare PECOS PAC ID | 7810890902 |
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Medicare Enrollment ID | O20080808000285 |
Identifier | Type | State | Issuer |
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1033371562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |