Organization
THE HEALTH CARE AUTHORITY OF THE TOWN OF WEDOWEE
Active
Organization
THE HEALTH CARE AUTHORITY OF THE TOWN OF WEDOWEE
Active
Other names
WEDOWEE HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD W DANIEL (ADMINISTRATOR)
(256) 357-2111
Entity
Organization
Contact information
Practice address
108 WOODLAND AVE, WEDOWEE, AL 36278
(256) 357-2188
(256) 357-0175
Mailing address
209 MAIN ST S, WEDOWEE, AL 36278-5139
(256) 357-2111
(256) 357-0175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540003432
—
AL
05
—
543432999
—
AL
Enumeration date
07/21/2006
Last updated
07/15/2008
Update your record
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