OrganizationActive
Community Care Network
NPI 1881728392 · Rural Health Clinic/Center · Montgomery, AL
Provider details
- NPI number
- 1881728392
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karina Polen-Davis, Executive Director(334) 269-6251
- License
- L5127 (AL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1629 Forest Ave
Montgomery, AL 36106-1541
Phone: (334) 269-6251
Fax: (334) 269-6253
Approximate (ZIP-level) locationGet directions
Mailing address
1629 Forest Ave
Montgomery, AL 36106-1541
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.