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1815 Hand Ave Bay Minette AL 36507-4110 | |
(251) 435-2290 | |
Not Available |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 1815 Hand Ave, Bay Minette, Alabama |
Authorized Official Name and Position | Randy W. Redfoot (DIRECTOR) |
Authorized Official Contact | 2514352290 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1815 Hand Ave Bay Minette AL 36507-4110 Ph: (251) 435-2290 | 1815 Hand Ave Bay Minette AL 36507-4110 Ph: (251) 435-2290 |
NPI Number | 1891060828 |
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Provider Enumeration Date | 03/08/2012 |
Last Update Date | 03/09/2012 |
Medicare PECOS PAC ID | 3375448491 |
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Medicare Enrollment ID | O20120314000756 |
Identifier | Type | State | Issuer |
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1891060828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | H0201 (Alabama) | Primary |