| Eutaw Health Center | |
|
200 Morrow Ave Eutaw AL 35462-1106 | |
| (205) 372-0011 | |
| (205) 372-9079 |
| Full Name | Eutaw Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Morrow Ave, Eutaw, Alabama |
| Authorized Official Name and Position | David Gay (CEO) |
| Authorized Official Contact | 2057586647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eutaw Health Center Po Box 2400 Tuscaloosa AL 35403-2400 Ph: (205) 758-6647 | Eutaw Health Center 200 Morrow Ave Eutaw AL 35462-1106 Ph: (205) 372-0011 |
| NPI Number | 1831133958 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 06/22/2021 |
| Medicare PECOS PAC ID | 8224921705 |
|---|---|
| Medicare Enrollment ID | O20040809000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831133958 | NPI | - | NPPES |
| 630004005 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Greene County Hospital Physicians' Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 607 Wilson Ave, Eutaw, AL 35462 Phone: 205-372-4035 Fax: 205-372-1228 |