| Boyde J Harrison Md Pc | |
|
904 26th St Haleyville AL 35565 | |
| (205) 486-5234 | |
| (205) 486-5232 |
| Full Name | Boyde J Harrison Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 904 26th St, Haleyville, Alabama |
| Authorized Official Name and Position | Boyde Jerome Harrison (OWNER) |
| Authorized Official Contact | 2054865234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boyde J Harrison Md Pc Po Box 655 Haleyville AL 35565-0655 Ph: (205) 486-5234 | Boyde J Harrison Md Pc 904 26th St Haleyville AL 35565 Ph: (205) 486-5234 |
| NPI Number | 1699879791 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 06/15/2011 |
| Medicare PECOS PAC ID | 9638198021 |
|---|---|
| Medicare Enrollment ID | O20051115000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699879791 | NPI | - | NPPES |
| 0440120001 | Other | AL | MEDICARE NFC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10063 (Alabama) | Primary |
| Provider Name | Karen L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902911654 PECOS PAC ID: 4981676590 Enrollment ID: I20040812000526 |
| Provider Name | Alicia M Reaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629234588 PECOS PAC ID: 0840350450 Enrollment ID: I20081126000387 |
| Provider Name | Boyde Jerome Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619908571 PECOS PAC ID: 3375445182 Enrollment ID: I20090422000225 |
| Provider Name | Deborah K Dyar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891726758 PECOS PAC ID: 2365544582 Enrollment ID: I20100812000129 |
| Provider Name | Bardya Mostafavi Naein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346597804 PECOS PAC ID: 7012132947 Enrollment ID: I20140708002077 |
| Provider Name | Holly S Mccaleb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447519400 PECOS PAC ID: 6204143969 Enrollment ID: I20150914002361 |
| Provider Name | Barry Chase Gunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629442090 PECOS PAC ID: 8224308689 Enrollment ID: I20170718003947 |
Haleyville Medical Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42320 Hwy 195, Haleyville, AL 35565 Phone: 205-486-8899 Fax: 205-486-8908 | |
Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42030 Highway 195, Suite D, Haleyville, AL 35565 Phone: 615-372-8500 | |
Bankhead Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42030 Highway 195 Ste A, Haleyville, AL 35565 Phone: 205-485-7219 Fax: 205-485-7135 | |
Lakeland Community Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42030 Highway 195 Ste E, Haleyville, AL 35565 Phone: 205-485-7188 | |
Boyde J. Harrison, Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 904 26th St, Haleyville, AL 35565 Phone: 205-486-5234 | |
Amy Traylor Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Garden Ln, Haleyville, AL 35565 Phone: 256-749-1739 | |
Lakeland Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42030 Highway 195, Suite D, Haleyville, AL 35565 Phone: 205-485-7243 |