| Chisholm Family Health Center | |
|
100 E Vandiver Blvd Montgomery AL 36110-1812 | |
| (334) 832-4338 | |
| (334) 832-9971 |
| Full Name | Chisholm Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 E Vandiver Blvd, Montgomery, Alabama |
| Authorized Official Name and Position | Susie Ann Beal (CFO) |
| Authorized Official Contact | 3344205001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chisholm Family Health Center Po Box 70365 Montgomery AL 36107-0365 Ph: (334) 420-5038 | Chisholm Family Health Center 100 E Vandiver Blvd Montgomery AL 36110-1812 Ph: (334) 832-4338 |
| NPI Number | 1538181490 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 11/29/2023 |
| Medicare PECOS PAC ID | 1557324811 |
|---|---|
| Medicare Enrollment ID | O20110622000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538181490 | NPI | - | NPPES |
| 01D0967316 | Other | AL | CLIA |
| 630003009 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Baptist Health Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 470 Taylor Rd Ste 310, Montgomery, AL 36117 Phone: 334-244-4322 Fax: 334-244-4321 | |
Jackson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine Street, Suite 103, Montgomery, AL 36106 Phone: 334-293-8888 Fax: 334-293-8154 | |
Baptist Health Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Brown Springs Rd, Montgomery, AL 36117 Phone: 334-273-4159 Fax: 334-273-4556 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |
Stewart H. Tankersley, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St, Suite 203, Montgomery, AL 36106 Phone: 334-240-2334 | |
Vaughn Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9540 Wynlakes Pl, Montgomery, AL 36117 Phone: 334-395-9933 Fax: 334-395-9907 |