Organization · Type 2 NPI

Tri County Medical Center, Inc

Federally Qualified Health Center (FQHC) · Lower Peach Tree, AL

NPI number 1740430107 Active

Practice location

County Road 49
Lower Peach Tree, AL 36751

Call (334) 636-2925 Map

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: 1740430107
Entity type: Organization (Type 2)
Issued: Sep 23, 2008
Last updated: Sep 24, 2008
Status: Active
Subpart: Yes of Tri County Medical Center, Inc

Other names

<unavail>
Tri County Community Health Clinic · 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 1740430107

Tri County Medical Center, Inc's National Provider Identifier is 1740430107, issued on Sep 23, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lower Peach Tree, AL. The record was last updated on Sep 24, 2008.