Provider Demographics
NPI:1366406985
Name:THE THOMAS REED AMBULATORY CARE CENTER
Entity type:Organization
Organization Name:THE THOMAS REED AMBULATORY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BATISTE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:334-727-4100
Mailing Address - Street 1:908 E WATER ST
Mailing Address - Street 2:
Mailing Address - City:TUSKEGEE
Mailing Address - State:AL
Mailing Address - Zip Code:36083-1551
Mailing Address - Country:US
Mailing Address - Phone:334-727-4100
Mailing Address - Fax:334-727-7347
Practice Address - Street 1:908 E WATER ST
Practice Address - Street 2:
Practice Address - City:TUSKEGEE
Practice Address - State:AL
Practice Address - Zip Code:36083-1551
Practice Address - Country:US
Practice Address - Phone:334-727-4100
Practice Address - Fax:334-727-7347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty