CRENSHAW COUNTY HEALTH CARE AUTHORITY NPI 1194811901

NPI Information

CRENSHAW COUNTY HEALTH CARE AUTHORITY is a rural health clinic center in Luverne, AL. CRENSHAW COUNTY HEALTH CARE AUTHORITY NPI is 1194811901. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Crenshaw Family Care Center.

The provider's business location address is:

58 ROY BEALL DR
LUVERNE, AL
ZIP 36049-800
Phone: (334) 335-1212
Fax: (334) 335-1217

The provider's authorized official is Michael Andrew Kimbro .
The authorized official title is Authorized Official and has the following contact phone number (334) 335-3374.

The CLIA number assigned to this NPI record is 01D0907682 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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