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424 S Wilson Ave Aiello-buskey Medical Center Prichard AL 36610-3910 | |
(251) 452-1442 | |
(251) 436-7765 |
Full Name | |
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Speciality | Clinic/Center |
Location | 424 S Wilson Ave, Prichard, Alabama |
Authorized Official Name and Position | Charles White (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2514348177 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 2048 Mobile AL 36652-2048 Ph: (251) 434-8177 | 424 S Wilson Ave Aiello-buskey Medical Center Prichard AL 36610-3910 Ph: (251) 452-1442 |
NPI Number | 1144298597 |
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Provider Enumeration Date | 03/10/2006 |
Last Update Date | 08/23/2022 |
Medicare PECOS PAC ID | 1658356308 |
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Medicare Enrollment ID | O20061211000148 |
Identifier | Type | State | Issuer |
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1144298597 | NPI | - | NPPES |
630004014 | Medicaid | AL |