Organization
QUALITY HEALTHCARE & HOLISTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE OBLENA (MD)
(256) 403-1025
Entity
Organization
Contact information
Practice address
226 S QUINTARD AVE STE C, ANNISTON, AL 36201-6070
(256) 403-1025
Mailing address
226 SOUTH QUINTARD AVE. STE. C, ANNISTON, AL 36201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QC1500X
Community Health Clinic/Center
19610
AL
282NR1301X
Rural Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051531188
BCBS
—
01
—
051531218
BCBS
—
01
—
7717155
AETNA
AL
Enumeration date
10/31/2014
Last updated
10/31/2014
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