Organization
WHATLEY HEALTH SERVICES INC
Active
Parent organization
WHATLEY HEALTH SERVICES, INC
Other names
SUMTER COUNTY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHATLEY HEALTH SERVICES, INC
Authorized official
MR. DAVID E GAY JR. (CEO)
(205) 758-6647
Entity
Organization
Contact information
Practice address
415 DERBY DR, YORK, AL 36925-2117
(205) 392-9656
(205) 392-9743
Mailing address
PO BOX 2400, TUSCALOOSA, AL 35403-2400
(205) 758-6647
(205) 345-3993
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630003005
—
AL
Enumeration date
07/21/2006
Last updated
06/22/2021
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