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Organization

WHATLEY HEALTH SERVICES INC

Active
Parent organization
WHATLEY HEALTH SERVICES, INC
Other names
JAMES O. ELLIS HEALTH CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
WHATLEY HEALTH SERVICES, INC
Authorized official
MR. DAVID E GAY JR. (CEO)
(205) 758-6647
Entity
Organization

Contact information

Practice address
3532 GREENSBORO AVE, TUSCALOOSA, AL 35401-7002
(205) 349-3250
(205) 345-3993
Mailing address
PO BOX 2400, TUSCALOOSA, AL 35403-2400
(205) 758-6647
(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
630010005
AL
Enumeration date
08/30/2007
Last updated
05/17/2022
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