Organization
WHATLEY HEALTH SERVICES INC
Active
Other names
EUTAW HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GAY JR. (CEO)
(205) 758-6647
Entity
Organization
Contact information
Practice address
200 MORROW AVE, EUTAW, AL 35462-1106
(205) 372-0011
(205) 372-9079
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
—
630004005
—
AL
Enumeration date
06/16/2006
Last updated
06/22/2021
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