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Organization

THE HEALTH CARE AUTHORITY OF THE TOWN OF WEDOWEE

Active
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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
76 COUNTY ROAD 64, WOODLAND, AL 36280-5209
(256) 449-2110
(256) 449-2174
Mailing address
209 MAIN ST S, WEDOWEE, AL 36278-5139
(256) 357-2111
(256) 357-0175

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
540003435
AL
05
543434999
AL
05
543435999
AL
Enumeration date
07/09/2006
Last updated
07/15/2008
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