Organization
CHARLES HENDERSON MEMORIAL ASSOCIATION
Active
Other names
Charles Henderson Child Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JERRI B SMITH (FINANCIAL MANAGER)
(334) 566-7600
Entity
Organization
Contact information
Practice address
1300 HIGHWAY 231 S, TROY, AL 36081-3058
(334) 566-7600
(334) 566-1445
Mailing address
PO BOX 928, TROY, AL 36081-0928
(334) 566-7600
(334) 566-1445
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D493
BCBS OF ALABAMA
AL
Enumeration date
04/27/2006
Last updated
08/22/2020
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