| Washington County Healthcare Authority, Inc | |
|
14634 St Stephens Ave Chatom AL 36518 | |
| (251) 847-2223 | |
| (251) 847-3808 |
| Full Name | Washington County Healthcare Authority, Inc |
|---|---|
| Speciality | General Practice |
| Location | 14634 St Stephens Ave, Chatom, Alabama |
| Authorized Official Name and Position | Alyson W Overstreet (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2518472223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington County Healthcare Authority, Inc Po Box 1358 Chatom AL 36518-1358 Ph: (251) 847-2223 | Washington County Healthcare Authority, Inc 14634 St Stephens Ave Chatom AL 36518 Ph: (251) 847-2223 |
| NPI Number | 1437330438 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 11/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437330438 | NPI | - | NPPES |
| 529912700 | Medicaid | AL | |
| 529202310 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Chatom Primary Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14634 Saint Stephens Ave, Chatom, AL 36518 Phone: 251-847-6262 Fax: 251-847-6277 |