| Tri County Medical Center, Inc | |
|
County Road 49 Lower Peach Tree AL 36751 | |
| (334) 636-2925 | |
| Not Available |
| Full Name | Tri County Medical Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | County Road 49, Lower Peach Tree, Alabama |
| Authorized Official Name and Position | Marilyn J Sawyer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2515781163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Medical Center, Inc Po Box 726 Evergreen AL 36401-0726 Ph: (251) 578-1163 | Tri County Medical Center, Inc County Road 49 Lower Peach Tree AL 36751 Ph: (334) 636-2925 |
| NPI Number | 1740430107 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 09/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740430107 | NPI | - | NPPES |
| 01D0867799 | Other | AL | CLIA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |