| Healthcare Authority Of Elba | |
|
980 Drayton Ave Elba AL 36323-1404 | |
| (334) 897-3800 | |
| (334) 897-3804 |
| Full Name | Healthcare Authority Of Elba |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 980 Drayton Ave, Elba, Alabama |
| Authorized Official Name and Position | Ellen C Briley (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3348972257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare Authority Of Elba 980 Drayton Ave Elba AL 36323-1404 Ph: (334) 897-3800 | Healthcare Authority Of Elba 980 Drayton Ave Elba AL 36323-1404 Ph: (334) 897-3800 |
| NPI Number | 1215235072 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 03/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215235072 | NPI | - | NPPES |
| 91689839813 | Other | INDIVIDUAL NPI | |
| M030769 | Other | AL | STATE MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M030769 (Alabama) | Primary |
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