Poarch Band Of Creek Indians in Atmore - Federally Qualified Health Center (fqhc)
Poarch Band Of Creek Indians - NPI 1902916489
Poarch Band Of Creek Indians is a Federally Qualified Health Center (fqhc) in Atmore, Alabama. Poarch Band Of Creek Indians practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Poarch Band Of Creek Indians is 1902916489. The last update date is 2017-05-23.
Poarch Band Of Creek Indians's current location address is 5811 Jack Springs Rd, Atmore, Alabama. You can contact this provider via phone number 2513689136. The mailing address for Poarch Band Of Creek Indians is 5811 Jack Springs Rd, Atmore, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Poarch Band Of Creek Indians |
|---|---|
| Address | 5811 Jack Springs Rd, Atmore, Alabama |
| Phone Number | 2513689136 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Smith Teresa |
| Telephone Number | 2513689136 |
NPI Number Detail
| NPI Number | 1902916489 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2017-05-23 |
Provider Mailing Address Detail
| Address | 5811 Jack Springs Rd |
|---|---|
| City | Atmore |
| State | Alabama (AL) |
| Post Code | 365025025 |
| Phone Number | 2513689136 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 630000019 | AL | -- | |
| 130574 | NCPDP |
Post Comment/ Review Below
What is the unique provider identifier assigned to Poarch Band Of Creek Indians?
The Poarch Band Of Creek Indians has been issued the NPI (National Provider Identifier) 1902916489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Poarch Band Of Creek Indians is physically located?
The Poarch Band Of Creek Indians is physically situated at the following address: 5811 Jack Springs Rd, Atmore, AL, 365025025.
What is the Poarch Band Of Creek Indians's area of specialization and corresponding taxonomy classification?
The Poarch Band Of Creek Indians's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902916489 to Poarch Band Of Creek Indians?
The Centers for Medicare & Medicaid Services originally issued the 1902916489 to Poarch Band Of Creek Indians on 2006-08-30.
When was the information related to Poarch Band Of Creek Indians most recently updated or refreshed?
The details pertaining to the Poarch Band Of Creek Indians, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-05-23.
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