James O. Ellis Health Center

LBN: Whatley Health Services Inc
James O. Ellis Health Center is an health care organization with primary practice located at 3532 Greensboro Ave , Tuscaloosa AL 35401-7002. 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. Whatley Health Services Inc can be contacted via phone (205) 349-3250, or through Gay, David E via phone (205) 758-6647.

Contact Information

Primary practice address
3532 Greensboro Ave Tuscaloosa AL 35401-7002
Phone: (205) 349-3250
Fax: (205) 345-3993
Website:
Map and Directions
Authorized official contact:
Name: Gay, David E
Phone: (205) 758-6647

Health care specialties

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

Profile Details

NPI number 1063606358
LBN Legal business name Whatley Health Services Inc
DBA Doing business as James O. Ellis Health Center
Authorized official Gay, David E
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 30th, 2007
Last updated May 17th, 2022 - about 3 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 1063606358 NPPES
Alabama MEDICAID 630010005

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