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Organization

MARSHALL FAMILY HEALTH CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY GORE (CEO)
(256) 894-6615
Entity
Organization

Contact information

Practice address
5930 HWY 431, SUITE 2, ALBERTVILLE, AL 35950
(256) 878-1053
(256) 878-1742
Mailing address
227 BRITTANY RD, GUNTERSVILLE, AL 35976-5766
(256) 891-3144
(256) 878-1742

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529704170
AL
05
541003902
AL
01
I561
MEDICARE GROUP NUMBER
AL
Enumeration date
07/30/2006
Last updated
08/26/2008
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