Provider Demographics
NPI:1164973657
Name:WHATLEY HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:WHATLEY HEALTH SERVICES, INC
Other - Org Name:OAKMAN STUDENT HEALTH AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:205-758-6647
Mailing Address - Street 1:2731 MLK JR. BLVD
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-5235
Mailing Address - Country:US
Mailing Address - Phone:205-349-3250
Mailing Address - Fax:205-752-1517
Practice Address - Street 1:142 SCHOOL STREET
Practice Address - Street 2:
Practice Address - City:OAKMAN
Practice Address - State:AL
Practice Address - Zip Code:35579
Practice Address - Country:US
Practice Address - Phone:205-622-3611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)