| Bhc-hoover Primary Care | |
|
5295 Preserve Pkwy Suite 210 Hoover AL 35244-4701 | |
| (205) 682-6077 | |
| (205) 682-7746 |
| Full Name | Bhc-hoover Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 5295 Preserve Pkwy, Hoover, Alabama |
| Authorized Official Name and Position | G. Scott Fenn (PRESIDENT) |
| Authorized Official Contact | 2057155415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhc-hoover Primary Care Po Box 830605 Birmingham AL 35283-0605 Ph: (205) 715-5943 | Bhc-hoover Primary Care 5295 Preserve Pkwy Suite 210 Hoover AL 35244-4701 Ph: (205) 682-6077 |
| NPI Number | 1669534947 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 09/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669534947 | NPI | - | NPPES |
| 529930740 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27614 (Alabama) | Primary |
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