Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 142 School Street, Oakman, Alabama |
Authorized Official Name and Position | David Gay (CEO) |
Authorized Official Contact | 2057586647 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2731 Mlk Jr Blvd Tuscaloosa AL 35401-5235 Ph: (205) 349-3250 | 142 School Street Oakman AL 35579 Ph: (205) 622-3611 |
NPI Number | 1487104691 |
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Provider Enumeration Date | 10/12/2016 |
Last Update Date | 06/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487104691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |