Organization
LENOX MEDICAL CLINIC
Active
Parent organization
TRI COUNTY MEDICAL CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI COUNTY MEDICAL CENTER, INC
Authorized official
MARILYN J SAWYER (CEO)
(251) 578-1163
Entity
Organization
Contact information
Practice address
3057 COUNTY ROAD 7, REPTON, AL 36475
(251) 248-2223
Mailing address
PO BOX 273, 3057 COUNTY ROAD 7, REPTON, AL 36475-0273
(251) 248-2223
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01D0867799
CLIA
AL
05
—
630004017
—
AL
Enumeration date
02/09/2009
Last updated
02/09/2009
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