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203 Talapoosa Street Wadley AL 36276 | |
(256) 395-4157 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 203 Talapoosa Street, Wadley, 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 |
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Po Box 97 Gadsden AL 35902-0097 Ph: (256) 192-0131 | 203 Talapoosa Street Wadley AL 36276 Ph: (256) 395-4157 |
NPI Number | 1699919779 |
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Provider Enumeration Date | 04/21/2009 |
Last Update Date | 04/19/2010 |
Medicare PECOS PAC ID | 7810890902 |
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Medicare Enrollment ID | O20091020000286 |
Identifier | Type | State | Issuer |
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1699919779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |