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Gulf Coast Medical Evaluation Center

Clinic/Center, Primary Care in Orange Beach, AL. Organization (NPI-2).

NPI number1982154357
StatusActive
Last updated in NPPESOct 10, 2016

Details

NPI
1982154357
Entity type
Organization (NPI-2)
Legal business name
Gulf Coast Medical Evaluation Center
Organization subpart
No
Enumeration date
Oct 10, 2016
Last updated
Oct 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care8254ALYes

Other names

  • Hometown Treatment Center (Doing Business As)

Practice location

3851 Illinois St
Orange Beach, AL 36561-3518

Phone 251-610-1619

Mailing address

22765 Highway 59
Robertsdale, AL 36567

Phone 251-947-2320 · Fax 251-947-2321

Authorized official

Karon Davis
Business Manager
2516101619

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