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
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