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Organization

MARSHALL FAMILY HEALTH CLINIC

Active
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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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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