| Whatley Health Services, Inc | |
|
230 Hospital Dr Vernon AL 35592-5251 | |
| (205) 695-0450 | |
| (205) 695-0451 |
| Full Name | Whatley Health Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 230 Hospital Dr, Vernon, Alabama |
| Authorized Official Name and Position | David E 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 |
|---|---|
| Whatley Health Services, Inc 2731 Mlk Jr Blvd Tuscaloosa AL 35401-5235 Ph: (205) 349-3250 | Whatley Health Services, Inc 230 Hospital Dr Vernon AL 35592-5251 Ph: (205) 695-0450 |
| NPI Number | 1114101383 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 05/17/2022 |
| Medicare PECOS PAC ID | 8224921705 |
|---|---|
| Medicare Enrollment ID | O20080204000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114101383 | NPI | - | NPPES |
| 630011005 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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