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76 County Road 64 Woodland AL 36280-5209 | |
(256) 449-2110 | |
(256) 449-2174 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 76 County Road 64, Woodland, Alabama |
Authorized Official Name and Position | Richard W Daniel (ADMINISTRATOR) |
Authorized Official Contact | 2563572111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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209 Main St S Wedowee AL 36278-5139 Ph: (256) 357-2111 | 76 County Road 64 Woodland AL 36280-5209 Ph: (256) 449-2110 |
NPI Number | 1760415889 |
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Provider Enumeration Date | 07/09/2006 |
Last Update Date | 07/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760415889 | NPI | - | NPPES |
543434999 | Medicaid | AL | |
543435999 | Medicaid | AL | |
540003435 | Medicaid | AL |