QUALITY OF LIFE HEALTH SERVICES, INC (CLAY QUALITY HEALTH CARE) - NPI NUMBER 1598187783
Provider Name: QUALITY OF LIFE HEALTH SERVICES, INC (CLAY QUALITY HEALTH CARE)
NPI Number: 1598187783
Clasification: Clinic/Center (261QF0400X)
Specialization: Federally Qualified Health Center (FQHC)
40745 HIGHWAY 77
Phone Number: (256) 492-0131
QUALITY OF LIFE HEALTH SERVICES, INC is a federally qualified health center (fqhc) clinic/center in Ashland, AL. The assigned NPI number for this provider is 1598187783 and is registered as an organization entity type.
The provider Is Doing Business As Clay Quality Health Care.
The provider's business address is:
40745 HIGHWAY 77
Phone: (256) 492-0131
The provider's authorized official is Wayne Rowe .
The authorized official title is Ceo and has the following contact phone number (256) 492-0131.
The enumeration date for this NPI number is 1/8/2014 and was last updated on 1/8/2014.
Map - Location of Practice
||CLAY COUNTY HEALTHCARE AUTHORITY
Clinic/Center (Primary Care)
The following information regarding the scope of practice of this provider is available:
||Federally Qualified Health Center (FQHC)
||Entity Type Code
||Employer Identification Number EIN
||Provider Organization Name Legal Business Name
||QUALITY OF LIFE HEALTH SERVICES, INC
||Provider Other Organization Name
||CLAY QUALITY HEALTH CARE
||Provider Other Organization Name Type Code
||Provider First Line Business Practice Location Address
||40745 HIGHWAY 77
||Provider Business Practice Location Address City Name
||Provider Business Practice Location Address State Name
||Provider Business Practice Location Address Postal Code
||Provider Business Practice Location Address Country Code If outside U S
||Provider Business Practice Location Address Telephone Number
||Provider Enumeration Date
||Last Update Date
||Authorized Official Last Name
||Authorized Official First Name
||Authorized Official Title or Position
||Authorized Official Telephone Number
||Healthcare Provider Taxonomy Code 1
||Healthcare Provider Primary Taxonomy Switch 1
||Is Organization Subpart
||Authorized Official Credential Text
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This page was last updated on: 1/13/2015
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