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1404 E Pushmataha St Butler AL 36904-2728 | |
(205) 459-4488 | |
(205) 459-3010 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1404 E Pushmataha St, Butler, Alabama |
Authorized Official Name and Position | Don Larkin Kennedy (REGIONAL CEO) |
Authorized Official Contact | 6017039614 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dept 3022, P.o. Box 1000 Memphis TN 38148-3022 Ph: (601) 213-3010 | 1404 E Pushmataha St Butler AL 36904-2728 Ph: (205) 459-4488 |
NPI Number | 1013355106 |
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Provider Enumeration Date | 06/11/2013 |
Last Update Date | 04/26/2023 |
Medicare PECOS PAC ID | 0244498368 |
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Medicare Enrollment ID | O20130923000650 |
Identifier | Type | State | Issuer |
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1013355106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Louis K Guinn Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 E Pushmataha St, Butler, AL 36904 Phone: 205-459-4499 Fax: 205-459-5348 | |
Bernita Mccants Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 E Pushmataha St, Butler, AL 36904 Phone: 205-459-5506 Fax: 205-459-5503 | |