Chase Medical Clinic Llc | |
5107 Moores Mill Rd Huntsville AL 35811-1007 | |
(256) 851-7190 | |
Not Available |
Full Name | Chase Medical Clinic Llc |
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Speciality | Clinic/Center |
Location | 5107 Moores Mill Rd, Huntsville, Alabama |
Authorized Official Name and Position | Mayuriben Patel (MEMBER) |
Authorized Official Contact | 2568517190 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chase Medical Clinic Llc 5107 Moores Mill Rd Huntsville AL 35811-1007 Ph: (256) 851-7190 | Chase Medical Clinic Llc 5107 Moores Mill Rd Huntsville AL 35811-1007 Ph: (256) 851-7190 |
NPI Number | 1811593197 |
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Provider Enumeration Date | 12/10/2020 |
Last Update Date | 12/10/2020 |
Medicare PECOS PAC ID | 6305259250 |
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Medicare Enrollment ID | O20210113002613 |
Identifier | Type | State | Issuer |
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1811593197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Archana Rastogi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427047885 PECOS PAC ID: 0143256800 Enrollment ID: I20050713001019 |
Provider Name | Contance E Chedester |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306481692 PECOS PAC ID: 8224442983 Enrollment ID: I20210121000508 |
Provider Name | Rachel Elizabeth Vanhooser |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194320606 PECOS PAC ID: 9436561248 Enrollment ID: I20210422002429 |
Bptcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Longwood Dr, Sw, Huntsville, AL 35801 Phone: 256-534-5946 Fax: 256-534-3041 | |
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