# CLANTON HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northside Family Practice Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720090756
- **Authorized official:** MS. YOLANDA TURNER WILLIAMS (OFFICE MANAGER)
- **Authorized official phone:** (205) 688-3888

## Contact information

- **Practice address:** 21850 U S HWY 31, THORSBY, AL 35171
- **Practice address phone:** (205) 688-3888
- **Practice address fax:** (205) 688-3895
- **Mailing address:** 21850 U S HWY 31, THORSBY, AL 35171
- **Mailing address phone:** (205) 688-3888
- **Mailing address fax:** (205) 688-3895

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 08/22/2020