Organization
ST LUKE INTEGRATIVE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE C ORTEGA (OWNER)
(256) 801-4536
Entity
Organization
Contact information
Practice address
415E CHURCH ST NW STE 4, HUNTSVILLE, AL 35801-5577
(256) 801-4536
Mailing address
415E CHURCH ST NW STE 4, HUNTSVILLE, AL 35801-5577
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
07/23/2020
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