Organization · Type 2 NPI

Tri County Medical Center

Federally Qualified Health Center (FQHC) · Red Level, AL

NPI number 1366572935 Active

Practice location

29080 Smiley Street
Red Level, AL 36474

Call (334) 469-5311 Map

Fax (334) 469-9211

Mailing address

PO Box 726
Evergreen, AL 36401-0726

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1366572935
Entity type: Organization (Type 2)
Issued: Mar 6, 2007
Last updated: Apr 7, 2008
Status: Active
Subpart: Yes of Tri County Medical Center, Inc

Other names

<unavail>
Red Level Medical Center · doing business as

Authorized official

Marilyn J Sawyer
Executive Director
(251) 578-1163

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366572935

Tri County Medical Center's National Provider Identifier is 1366572935, issued on Mar 6, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Red Level, AL. The record was last updated on Apr 7, 2008.