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Healthcare Authority Of Elba
Primary Care Clinic/Center in Elba, Alabama
NPI 1215235072

Healthcare Authority Of Elba is a Primary Care Clinic/Center based in Elba, AL and is specialized in Primary Care. Healthcare Authority Of Elba practices in Elba, AL. The NPI Number for Healthcare Authority Of Elba is 1215235072 and holds a License No. M030769 (Alabama).

The current practice location address for Healthcare Authority Of Elba is 980 Drayton Ave, Elba, AL and can be reached out via phone at 334-897-3800 and via fax at 334-897-3804.

Location: 980 Drayton Ave, Elba, AL, 36323-1404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215235072
Provider Name
Healthcare Authority Of Elba
Credential
Provider Entity Type
Organization
Address
980 Drayton Ave, Elba, AL, 36323-1404
Phone Number
334-897-3800
Fax Number
334-897-3804
Provider Enumeration Date
03/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
91689839813 01 INDIVIDUAL NPI
M030769 01 AL STATE MEDICAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
980 Drayton Ave
City
Elba
State
Alabama
Zip
36323-1404
Phone Number
334-897-3800
Fax Number
334-897-3804
person
Provider Business Mailing Address Details
Address
980 Drayton Ave
City
Elba
State
Alabama
Zip
36323-1404
Phone Number
334-897-3800
Fax Number
334-897-3804
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
M030769 (Alabama)
Definition
Definition to come...
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