Organization Name: | CENTRAL ALABAMA COMPREHENSIVE HEALTH INC |
NPI Number: | 1215078159 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHEILA G PARKER (FINANCIAL DIRECTOR) |
Mailing Address: | 203 West Lee Street Tuskegee |
State: | AL US |
Postal Code: | 36083 |
Phone Number: | 2052125602 |
Fax Number: | 2052125610 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 05/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |