| Marshall Medical Center North Medical Centers Behavioral Health Clinic | |
|
38 Rowe Dr Guntersville AL 35976-7367 | |
| (256) 571-8717 | |
| Not Available |
| Full Name | Marshall Medical Center North Medical Centers Behavioral Health Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 38 Rowe Dr, Guntersville, Alabama |
| Authorized Official Name and Position | Brittni Palmore (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2058748300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Medical Center North Medical Centers Behavioral Health Clinic 38 Rowe Dr Guntersville AL 35976-7367 Ph: (256) 571-8717 | Marshall Medical Center North Medical Centers Behavioral Health Clinic 38 Rowe Dr Guntersville AL 35976-7367 Ph: (256) 571-8717 |
| NPI Number | 1790169282 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 07/14/2015 |
| Medicare PECOS PAC ID | 6406151323 |
|---|---|
| Medicare Enrollment ID | O20160301001636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790169282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Gregory T Ciaccio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679610760 PECOS PAC ID: 6608898960 Enrollment ID: I20070823000187 |
| Provider Name | Rachel L Pope |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558505966 PECOS PAC ID: 5092951731 Enrollment ID: I20130918000473 |
| Provider Name | Kim Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417606179 PECOS PAC ID: 7113369661 Enrollment ID: I20240529002623 |
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