| Bhc - Hueytown | |
|
2800 Allison Bonnett Memorial Dr Hueytown AL 35023-1845 | |
| (205) 744-4410 | |
| (205) 744-6150 |
| Full Name | Bhc - Hueytown |
|---|---|
| Speciality | Family Medicine |
| Location | 2800 Allison Bonnett Memorial Dr, Hueytown, Alabama |
| Authorized Official Name and Position | G. Scott Fenn (CHIEF INTEGRATION OFFICER) |
| Authorized Official Contact | 2057155415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhc - Hueytown Po Box 830605 Birmingham AL 35283-0605 Ph: (205) 715-5904 | Bhc - Hueytown 2800 Allison Bonnett Memorial Dr Hueytown AL 35023-1845 Ph: (205) 744-4410 |
| NPI Number | 1780648881 |
|---|---|
| Provider Enumeration Date | 04/14/2006 |
| Last Update Date | 02/26/2009 |
| Medicare PECOS PAC ID | 5698769255 |
|---|---|
| Medicare Enrollment ID | O20040414001372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780648881 | NPI | - | NPPES |
| 529402430 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Judith Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003138678 PECOS PAC ID: 1153456140 Enrollment ID: I20100427000331 |
| Provider Name | John Randolph Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487767224 PECOS PAC ID: 1456475169 Enrollment ID: I20100902000290 |
| Provider Name | William P. Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073627121 PECOS PAC ID: 8426172065 Enrollment ID: I20100902000750 |
| Provider Name | Cheryl M Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336300433 PECOS PAC ID: 2365611019 Enrollment ID: I20110815000091 |
| Provider Name | Enjoli Mcqueen King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265891485 PECOS PAC ID: 6608175229 Enrollment ID: I20160504000364 |
| Provider Name | Jerelyn Tiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033652581 PECOS PAC ID: 1355622150 Enrollment ID: I20170111000080 |
| Provider Name | Laura P Welde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740791854 PECOS PAC ID: 0749547602 Enrollment ID: I20171130002184 |
Uab Medical West Hueytown Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3004 Allison Bonnett Memorial Dr, Hueytown, AL 35023 Phone: 205-491-3299 Fax: 205-744-8751 | |
Kwus Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 River Square Plz, Hueytown, AL 35023 Phone: 205-997-0175 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2731 Allison Bonnett Memorial Dr, Hueytown, AL 35023 Phone: 205-548-4102 Fax: 205-548-4103 |