| Healthcare Authority Of Elba Inc | |
|
987 Drayton Ave Elba AL 36323-1402 | |
| (334) 897-2257 | |
| Not Available |
| Full Name | Healthcare Authority Of Elba Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 987 Drayton Ave, Elba, Alabama |
| Authorized Official Name and Position | Ellen C Briley (CEO) |
| Authorized Official Contact | 3348972257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare Authority Of Elba Inc 987 Drayton Ave Elba AL 36323-1402 Ph: (334) 897-2257 | Healthcare Authority Of Elba Inc 987 Drayton Ave Elba AL 36323-1402 Ph: (334) 897-2257 |
| NPI Number | 1053571588 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053571588 | NPI | - | NPPES |
| 558300170 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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