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Poarch Band Of Creek Indians
Federally Qualified Health Center (FQHC) in Atmore, Alabama
NPI 1902916489

Poarch Band Of Creek Indians is a Federally Qualified Health Center (FQHC) based in Atmore, AL and is specialized in Federally Qualified Health Center (FQHC). Poarch Band Of Creek Indians practices in Atmore, AL. The NPI Number for Poarch Band Of Creek Indians is 1902916489 and holds a License No. (Alabama).

The current practice location address for Poarch Band Of Creek Indians is 429 Buford L Rolin Dr, Atmore, AL and can be reached out via phone at 251-368-9136.

Location: 429 Buford L Rolin Dr, Atmore, AL, 36502-5025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902916489
Provider Name
Poarch Band Of Creek Indians
Credential
Provider Entity Type
Organization
Address
429 Buford L Rolin Dr, Atmore, AL, 36502-5025
Phone Number
251-368-9136
Fax Number
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
630000019 05 AL
0130574 01 NCPDP
institution
Provider Business Practice Location Address Details
Address
429 Buford L Rolin Dr
City
Atmore
State
Alabama
Zip
36502-5186
Phone Number
251-368-9136
Fax Number
person
Provider Business Mailing Address Details
Address
429 Buford L Rolin Dr
City
Atmore
State
Alabama
Zip
36502-5186
Phone Number
251-368-9136
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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