The Health Care Authority of the Town of Wedowee

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

THE HEALTH CARE AUTHORITY OF THE TOWN OF WEDOWEE

Practice address

76 County Road 64
Woodland, AL 36280-5209

Phone

(256) 449-2110

Fax

(256) 449-2174

NPI assigned

Jul 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard W Daniel

Title

Administrator

Phone

(256) 357-2111

Specialties & licenses 6

Addresses

Other identifiers 3

Other names 1

• WEDOWEE HOSPITAL Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1760415889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MAIN ST S",
            "city": "WEDOWEE",
            "state": "AL",
            "postal_code": "362785139",
            "telephone_number": "256-357-2111",
            "fax_number": "256-357-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 COUNTY ROAD 64",
            "city": "WOODLAND",
            "state": "AL",
            "postal_code": "362805209",
            "telephone_number": "256-449-2110",
            "fax_number": "256-449-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH CARE AUTHORITY OF THE TOWN OF WEDOWEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-357-2111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543434999",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543435999",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540003435",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEDOWEE HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quality of Life Health Services Inc
• Robert S Svensen
• Theresa Faye Smith, LCSW
• Southern Ambulance Transport, Inc.
• Jeff Stewart, MD
• TMC Woodland Family Healthcare, Inc.
• Alexis Young
• Youngs Drug Store LLC

• Rural Health Clinic/Center in Woodland, AL
• Providers in Woodland, AL by specialty
• Rural Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.