Organization
WHATLEY HEALTH SERVICES INC
Active
Parent organization
WHATLEY HEALTH SERVICES, INC
Other names
MAUDE L. WHATLEY HEALTH CENTERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHATLEY HEALTH SERVICES, INC
Authorized official
DAVID ELLIS GAY (CEO)
(205) 758-6647
Entity
Organization
Contact information
Practice address
2731 MLK JR BLVD, TUSCALOOSA, AL 35401-5235
(205) 349-3250
(205) 345-3993
Mailing address
2731 MLK JR BLVD, TUSCALOOSA, AL 35401-5235
(205) 349-3250
(205) 345-3993
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630000005
—
AL
Enumeration date
08/08/2006
Last updated
05/17/2022
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