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1300 Highway 231 S Troy AL 36081-3058 | |
(334) 566-7600 | |
(334) 566-1445 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1300 Highway 231 S, Troy, Alabama |
Authorized Official Name and Position | Jerri B Smith (FINANCIAL MANAGER) |
Authorized Official Contact | 3345667600 |
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 928 Troy AL 36081-0928 Ph: (334) 566-7600 | 1300 Highway 231 S Troy AL 36081-3058 Ph: (334) 566-7600 |
NPI Number | 1346207131 |
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Provider Enumeration Date | 04/27/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2264452069 |
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Medicare Enrollment ID | O20051122000686 |
Identifier | Type | State | Issuer |
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1346207131 | NPI | - | NPPES |
D493 | Other | AL | BCBS OF ALABAMA |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Elizabeth Dawson |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1104086461 PECOS PAC ID: 3173938503 Enrollment ID: I20210217002862 |
Southeast Alabama Rural Health Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Elba Hwy, Troy, AL 36079 Phone: 334-670-6726 Fax: 334-670-6731 | |
Troy Family Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Country Club Rd, Troy, AL 36079 Phone: 334-807-0235 Fax: 334-807-0099 | |