Organization
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Active
Other names
Slocomb Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMYLON BOWERS (CHIEF EXECUTIVE OFFICER)
(334) 670-6726
Entity
Organization
Contact information
Practice address
162 S DALTON ST, SLOCOMB, AL 36375-5669
(334) 886-3023
(334) 886-3028
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630007018
—
AL
Enumeration date
12/05/2007
Last updated
09/12/2022
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