| Yellow Bluff Health Center | |
|
2210 Highway 221 Camden AL 36726-4233 | |
| (334) 682-5772 | |
| (334) 682-5792 |
| Full Name | Yellow Bluff Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2210 Highway 221, Camden, Alabama |
| Authorized Official Name and Position | Keshee Smith (CEO) |
| Authorized Official Contact | 3348747428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yellow Bluff Health Center Po Box 2213 Selma AL 36702-2213 Ph: (334) 874-7428 | Yellow Bluff Health Center 2210 Highway 221 Camden AL 36726-4233 Ph: (334) 682-5772 |
| NPI Number | 1760561419 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 07/05/2023 |
| Medicare PECOS PAC ID | 0143219196 |
|---|---|
| Medicare Enrollment ID | O20101117001653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760561419 | NPI | - | NPPES |
| 011835 | Other | AL | MEDICARE ID -TYPE UNSPECIFIED / PTAN |
| 630000008 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Alabama) | Primary |
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