Organization Name: | THE THOMAS REED AMBULATORY CARE CENTER |
NPI Number: | 1366406985 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HENRY BATISTE (EXECUTIVE DIRECTOR) |
Mailing Address: | 908 E Water St Tuskegee |
State: | AL US |
Postal Code: | 360831551 |
Phone Number: | 3347274100 |
Fax Number: | 3347277347 |
NPI Enumeration Date: | 04/12/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |