MEDICARE: WETUMPKA MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	13468	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	UNSPECIFIED	OTHER	AL	MEDICARE

General Provider Information

NPI Number	:	1073991733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WETUMPKA MEDICAL CENTER

Provider Business Mailing Address
First Line	:	76297 TALLASSEE HWY
Second Line	:
City	:	WETUMPKA
State	:	AL
Zip	:	36092-5558
Country	:	US
Telephone Number	:	334-478-3276
Fax Number	:	334-478-3720

Provider Business Practice Location Address
First Line	:	76297 TALLASSEE HWY
Second Line	:
City	:	WETUMPKA
State	:	AL
Zip	:	36092-5558
Country	:	US
Telephone Number	:	334-478-3276
Fax Number	:	334-478-3720

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MARK HAYDEN
Credential	:
Telephone Number	:	334-478-3276

Provider Enumeration Date	:	05/14/2015
Last Update Date	:	05/14/2015

Similar Medicare Providers

1265408603 — STEVEN MARK HAYDEN M.D.
Practice Location Address:

76297 TALLASSEE HWY
WETUMPKA, AL
36092-5558

Practice Phone: 334-514-1910
Practice Fax:

1437159290 — PHP OF ALABAMA
Practice Location Address:

62 RED EAGLE PKWY
WETUMPKA, AL
36092-2052

Practice Phone: 334-567-3729
Practice Fax: 334-514-6776

1558358549 — HELPING HEARTS HOSPICE
Practice Location Address:

225 HILL ST
WETUMPKA, AL
36092-2722

Practice Phone: 334-512-1010
Practice Fax: 334-512-1013

1245202902 — DR. DAVID S GAMS M.D.
Practice Location Address:

8966 US HIGHWAY 231
WETUMPKA, AL
36092-5375

Practice Phone: 334-514-9723
Practice Fax: 334-259-2621

1235106543 — WILLIE J CHESTER DO
Practice Location Address:

4452 US HIGHWAY 231
WETUMPKA, AL
36092-3328

Practice Phone: 334-420-5001
Practice Fax: 334-293-6640

1063476489 — PHYSICIANS CHOICE DIALYSIS OF ALABAMA LLC
Practice Location Address:

125 HOSPITAL DRIVE
WETUMPKA, AL
36092-1626

Practice Phone: 334-514-2037
Practice Fax: 334-514-9568

Directions to “WETUMPKA MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.