Organization
HEALTH SERVICES INC
Active
Other names
Gateway Family Health Center, SOUTHSIDE FAMILY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE ANN BEAL (CFO)
(334) 420-5001
Entity
Organization
Contact information
Practice address
2905 E SOUTH BLVD, MONTGOMERY, AL 36116-2501
(334) 288-0009
Mailing address
PO BOX 70365, MONTGOMERY, AL 36107-0365
(334) 420-5001
(334) 420-0158
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
AL
Other
Enumeration date
04/01/2009
Last updated
11/29/2023
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