POARCH CREEK INDIAN HEALTH DEPARTMENT
NPI 1902916489
Clinic/Center - Federally Qualified Health Center (FQHC) in Atmore, AL

Active since August 30, 2006CLIA 01D0671486 · Certificate of Compliance
429 BUFORD L ROLIN DR, ATMORE, AL 36502(251) 368-9136 Get Directions Write a Review

NPPES record last updated: May 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Poarch Creek Indian Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POARCH CREEK INDIAN HEALTH DEPARTMENT (NPI 1902916489) is a healthcare organization registered as a federally qualified health center (fqhc) in Atmore, Alabama and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 14, 2028 and lists Teresa Smith, Business Office Director, as its authorized official.

NPPES Registry Identity

NPI1902916489
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePOARCH BAND OF CREEK INDIANS
Location Address429 BUFORD L ROLIN DRAtmore, AL 36502-5186
Mailing Address5811 Jack Springs RdAtmore, AL 36502-5025 · (251) 368-9136
Organization SubpartNo
Authorized OfficialTeresa SmithBusiness Office Director · (251) 368-9136
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 23, 2017
NPI 1902916489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
429 BUFORD L ROLIN DR, Atmore, AL 36502

Other Names 1

Doing Business AsPoarch Creek Indian Health Department

Other Identifiers 2

Other0130574Ncpdp
Medicaid630000019AL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 01D0671486

Poarch Band Of Creek Indians Health Department Lab · Atmore, AL
Active · expires Jun 14, 2028
CLIA Number01D0671486
Laboratory TypeCreek Indian Heath Depart
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorDr. George J. Semple
Laboratory Phone(251) 368-9136
Laboratory LocationPoarch Band Of Creek Indians Health Department Lab429 Buford L Rolin Drive, Atmore, AL 36502
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
429 BUFORD L ROLIN DR
ATMORE, AL 36502
Physical Therapist
429 BUFORD L ROLIN DR
ATMORE, AL 36502
Registered Nurse
429 BUFORD L ROLIN DR
ATMORE, AL 36502
Behavior Analyst
429 BUFORD L ROLIN DR
ATMORE, AL 36502
Nurse Practitioner (Family)
429 BUFORD L ROLIN DR
ATMORE, AL 36502
Dentist (General Practice)
429 BUFORD L ROLIN DR
ATMORE, AL 36502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poarch Band Of Creek Indians's NPI number?

The NPI number for Poarch Band Of Creek Indians is 1902916489. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Poarch Creek Indian Health Department.

Where is Poarch Band Of Creek Indians located?

Poarch Band Of Creek Indians is located at 429 Buford L Rolin Dr, Atmore, AL 36502. The listed phone number is (251) 368-9136.

What is Poarch Band Of Creek Indians's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Poarch Band Of Creek Indians hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D0671486) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Poarch Band Of Creek Indians was last updated on May 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.