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139 E Lafayette St Dadeville AL 36853-1322 | |
(256) 825-8211 | |
(256) 825-0999 |
Full Name | |
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Speciality | Family Medicine |
Location | 139 E Lafayette St, Dadeville, Alabama |
Authorized Official Name and Position | Frances Kahanec Bartel (PHYSICIAN AND MANAGER) |
Authorized Official Contact | 2568258211 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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139 E Lafayette St Dadeville AL 36853-1322 Ph: (256) 825-8211 | 139 E Lafayette St Dadeville AL 36853-1322 Ph: (256) 825-8211 |
NPI Number | 1790803690 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 10/31/2007 |
Medicare PECOS PAC ID | 6406872977 |
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Medicare Enrollment ID | O20051024000643 |
Identifier | Type | State | Issuer |
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1790803690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | AL13217 (Alabama) | Primary |
Provider Name | Debbie S Cleveland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164407656 PECOS PAC ID: 8628171774 Enrollment ID: I20070312000202 |
Provider Name | Frances Kahanec Bartel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659301174 PECOS PAC ID: 3971694845 Enrollment ID: I20100819000632 |
Provider Name | Robert W Bartel |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1164538203 PECOS PAC ID: 5890886766 Enrollment ID: I20100824000012 |
Ivy Creek Of Tallapoosa, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5958 Highway 49 S Unit K, Dadeville, AL 36853 Phone: 256-825-7871 | |