Organization
FORT PAYNE RHC CORP
Active
Organization
FORT PAYNE RHC CORP
Active
Other names
Dekalb Clinic South
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER MORRIS (AUTHORIZED OFFICIAL)
(256) 927-9162
Entity
Organization
Contact information
Practice address
13280 COUNTY ROAD 51, COLLINSVILLE, AL 35961-4174
(307) 782-7560
Mailing address
16 ATLANTIC AVE, LYNBROOK, NY 11563-3046
(516) 593-1380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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