The Health Care Authority of the Town of Wedowee
Organization Active NPI Rural Health Clinic/Center · Wadley, AL
NPI 1659396307 · NPPES record last updated Jul 15, 2008
Key facts
- NPI
- 1659396307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- THE HEALTH CARE AUTHORITY OF THE TOWN OF WEDOWEE
- Practice address
- 203 Tallapoosa St
Wadley, AL 36276 - Phone
- (256) 395-4157
- Fax
- (256) 395-6055
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Richard W Daniel
- Title
- Administrator
- Phone
- (256) 357-2111
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
203 Tallapoosa St
Wadley, AL 36276
Mailing address
203 Tallapoosa St
Wadley, AL 36276
Phone (256) 395-4157
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541003937 | Medicaid | AL |
Other names
- WEDOWEE HOSPITAL
Other providers in Wadley, AL
- Renea Adams
- Encore Rehabilitation, Inc.
- Mary Elizabeth Merritt
- Quality of Life Health Services, Inc
- Vernesa Sanford
- Wedowee Hospital
- David Randall Willis
All providers in Wadley, AL · Rural Health Clinic/Center in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.