Organization
THE HEALTH CARE AUTHORITY OF THE TOWN OF WEDOWEE
Active
Other names
WEDOWEE HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD W DANIEL (ADMINISTRATOR)
(256) 357-2111
Entity
Organization
Contact information
Practice address
203 TALLAPOOSA ST, WADLEY, AL 36276
(256) 395-4157
(256) 395-6055
Mailing address
203 TALLAPOOSA ST, WADLEY, AL 36276
(256) 395-4157
(256) 395-6055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541003937
—
AL
Enumeration date
07/13/2006
Last updated
07/15/2008
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