Organization
CENTRAL ALABAMA COMPREHENSIVE HEALTH, INC.
Active
Parent organization
CENTRAL ALABAMA COMPREHENSIVE HEALTH
Other names
Lafayette Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL ALABAMA COMPREHENSIVE HEALTH
Authorized official
SHEILA G PARKER (FINANCIAL DIRECTOR)
(205) 212-5602
Entity
Organization
Contact information
Practice address
404B 9TH AVE S.W., LAFAYETTE, AL 36862
(334) 864-0084
(334) 864-2816
Mailing address
203 WEST LEE STREET, TUSKEGEE, AL 36083-1719
(205) 212-5602
(205) 212-5610
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630005010
—
AL
Enumeration date
10/16/2007
Last updated
12/03/2010
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