Poarch Creek Indian Health Department

LBN: Poarch Band Of Creek Indians
Poarch Creek Indian Health Department is an health care organization with primary practice located at 429 Buford L Rolin Dr , Atmore AL 36502-5186. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Poarch Band Of Creek Indians can be contacted via phone (251) 368-9136, or through Smith, Teresa via phone (251) 368-9136.

Contact Information

Primary practice address
429 Buford L Rolin Dr Atmore AL 36502-5186
Phone: (251) 368-9136
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Teresa
Phone: (251) 368-9136

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1902916489
LBN Legal business name Poarch Band Of Creek Indians
DBA Doing business as Poarch Creek Indian Health Department
Authorized official Smith, Teresa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated May 23rd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902916489 NPPES
Alabama MEDICAID 630000019
Alabama Other 0130574

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