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NPI Code Detail

MEDICARE: CITIZENS BAPTIST MEDICAL CENTER

MEDICARE: CITIZENS BAPTIST 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1215929864
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITIZENS BAPTIST MEDICAL CENTER
Provider Business Mailing Address
First Line : 604 STONE AVE
Second Line :
City : TALLADEGA
State : AL
Zip : 35160-2217
Country : US
Telephone Number : 205-715-5427
Fax Number : 205-715-5878
Provider Business Practice Location Address
First Line : 604 STONE AVE
Second Line :
City : TALLADEGA
State : AL
Zip : 35160-2217
Country : US
Telephone Number : 256-761-4371
Fax Number : 256-761-4543
Authorized Official
Title or Position : CEO
Name : MR. JOEL TAYLOR
Credential :
Telephone Number : 256-761-4490
Provider Enumeration Date : 08/19/2005
Last Update Date : 04/28/2016

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Directions to “CITIZENS BAPTIST MEDICAL CENTER ” Practice Location

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