Organization · Type 2 NPI

Healthcare Authority of Elba

Primary Care Clinic/Center · Elba, AL

NPI number 1215235072 Active

Practice location

980 Drayton Ave
Elba, AL 36323-1404

Fax (334) 897-3804

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XM030769 (AL)

Primary Care Clinic/Center: Definition to come...

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About NPI 1215235072

Healthcare Authority of Elba's National Provider Identifier is 1215235072, issued on Mar 3, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Elba, AL. The record was last updated on Mar 3, 2011.