Organization
DIABETES CARE CENTER
Active
Other names
Diabetes Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JETE EDMISSON (VICE PRESIDENT OF FINANCE)
(256) 737-2595
Entity
Organization
Contact information
Practice address
1792 AL HIGHWAY 157, CULLMAN, AL 35058-3622
(256) 737-2025
(256) 737-2829
Mailing address
1792 AL HIGHWAY 157, CULLMAN, AL 35058-3622
(256) 737-2025
(256) 737-2829
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010049
BLUE CROSS
AL
05
—
H0S0035H
—
AL
Enumeration date
11/02/2005
Last updated
08/22/2020
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