# DIABETES CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diabetes Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497746085
- **Authorized official:** MR. JETE EDMISSON (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (256) 737-2595

## Contact information

- **Practice address:** 1792 AL HIGHWAY 157, CULLMAN, AL 35058-3622
- **Practice address phone:** (256) 737-2025
- **Practice address fax:** (256) 737-2829
- **Mailing address:** 1792 AL HIGHWAY 157, CULLMAN, AL 35058-3622
- **Mailing address phone:** (256) 737-2025
- **Mailing address fax:** (256) 737-2829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010049 | BLUE CROSS | AL |
| 05 | — | H0S0035H | — | AL |