Organization
GENEVAL COUNTY HEALTH CARE AUTHORITY, INC.
Active
Other names
Wiregrass Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL G. JOHNSON (CHIEF EXECUTIVE OFFICER)
(334) 684-3655
Entity
Organization
Contact information
Practice address
24245 5TH AVE, FLORALA, AL 36442-3523
(334) 684-3655
Mailing address
24245 5TH AVE, FLORALA, AL 36442-3523
(334) 684-3655
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
03/23/2016
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