| Citronelle Clinic | |
|
19250 N Mobile St Citronelle AL 36522-2122 | |
| (251) 866-9129 | |
| (251) 866-9121 |
| Full Name | Citronelle Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 19250 N Mobile St, Citronelle, Alabama |
| Authorized Official Name and Position | Kelly Warren (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2516908158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citronelle Clinic Po Box 2867 Mobile AL 36652-2867 Ph: (251) 690-8158 | Citronelle Clinic 19250 N Mobile St Citronelle AL 36522-2122 Ph: (251) 866-9129 |
| NPI Number | 1053406280 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 04/29/2021 |
| Medicare PECOS PAC ID | 9931208386 |
|---|---|
| Medicare Enrollment ID | O20120106000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053406280 | NPI | - | NPPES |
| 630001013 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Gmuc Of Citronelle Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19355 N 3rd St, Suite 104, Citronelle, AL 36522 Phone: 251-633-0123 Fax: 251-445-3722 | |
Citronelle Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19260 N Mobile St, Citronelle, AL 36522 Phone: 251-866-5585 Fax: 251-866-9121 | |
Providence Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19140 S 3rd St, Citronelle, AL 36522 Phone: 251-866-0086 Fax: 251-866-0089 | |
Providence Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19140 S 3rd St, Citronelle, AL 36522 Phone: 251-866-0086 Fax: 251-866-0089 |