| Centre Clinic Corp | |
|
395 Northwood Dr Centre AL 35960-1045 | |
| (256) 927-4900 | |
| (256) 927-9151 |
| Full Name | Centre Clinic Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 395 Northwood Dr, Centre, Alabama |
| Authorized Official Name and Position | Sophia Arwood (DIRECTOR; AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6152211400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centre Clinic Corp Po Box 5009 Brentwood TN 37024-5009 Ph: (615) 221-1400 | Centre Clinic Corp 395 Northwood Dr Centre AL 35960-1045 Ph: (256) 927-4900 |
| NPI Number | 1558315689 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 04/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558315689 | NPI | - | NPPES |
| 529928970 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
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