Cahaba Medical Care Foundation
Clinic/Center, Federally Qualified Health Center (FQHC) in Centreville, AL. Organization (NPI-2).
NPI number1316201809
StatusActive
Last updated in NPPESJun 5, 2017
Details
- NPI
- 1316201809
- Entity type
- Organization (NPI-2)
- Legal business name
- Cahaba Medical Care Foundation
- Organization subpart
- No
- Enumeration date
- Jun 28, 2012
- Last updated
- Jun 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
195 Hospital DrCentreville, AL 35042-2935
Phone 205-926-2992 · Fax 205-926-2993
Mailing address
195 Hospital DrCentreville, AL 35042-2935
Phone 205-926-2992 · Fax 205-926-2993
Authorized official
John Bryan Waits
Ceo
2059262992
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All 5 Federally Qualified Health Center (FQHC) providers in Centreville · All 173 providers in Centreville
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