Organization
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Active
Other names
Enterprise Children's Center & Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A LITTLE MPH (CEO)
(334) 670-6726
Entity
Organization
Contact information
Practice address
105 E WATTS ST, ENTERPRISE, AL 36330-2511
(334) 393-5437
(334) 489-4438
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630006018
—
AL
Enumeration date
12/12/2006
Last updated
02/21/2019
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