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General NPI Number Information
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NPI Number | 1629133673
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Entity Type | Organization
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Legal Business Name | CLAY COUNTY HEALTHCARE AUTHORITY
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 838255 HWY 9
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City | ASHLAND
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State | AL
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Zip | 36251
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Country | US
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Telephone | 256-354-1160
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Fax | 256-354-1246
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Provider Business Mailing Address
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Address Line | PO BOX 1270
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City | ASHLAND
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State | AL
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Zip | 36251-1270
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Country | US
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Telephone | 256-354-1160
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Fax | 256-354-1246
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Authorized Official
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Title or Position | CEO
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Name | RICHARD STEPHEN YOUNG
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Credential |
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Telephone | 256-354-2131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 120075
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License Number State | AL
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