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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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