Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 415 Derby Dr, York, Alabama |
Authorized Official Name and Position | David E Gay (CEO) |
Authorized Official Contact | 2057586647 |
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 2400 Tuscaloosa AL 35403-2400 Ph: (205) 758-6647 | 415 Derby Dr York AL 36925-2117 Ph: (205) 392-9656 |
NPI Number | 1801817549 |
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Provider Enumeration Date | 07/21/2006 |
Last Update Date | 06/22/2021 |
Medicare PECOS PAC ID | 8224921705 |
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Medicare Enrollment ID | O20040806001117 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801817549 | NPI | - | NPPES |
630003005 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
York Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Derby Dr, York, AL 36925 Phone: 205-392-7477 Fax: 205-392-7379 | |