Clinic Pc | |
16240 Highway 17 Toxey AL 36921-2489 | |
(251) 843-5949 | |
(251) 843-5969 |
Full Name | Clinic Pc |
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Speciality | Family Medicine |
Location | 16240 Highway 17, Toxey, Alabama |
Authorized Official Name and Position | Karen Manning (PRESIDENT) |
Authorized Official Contact | 2518435949 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinic Pc Po Box 236 Toxey AL 36921-0236 Ph: () - | Clinic Pc 16240 Highway 17 Toxey AL 36921-2489 Ph: (251) 843-5949 |
NPI Number | 1487819447 |
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Provider Enumeration Date | 07/18/2008 |
Last Update Date | 01/06/2021 |
Medicare PECOS PAC ID | 4587722830 |
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Medicare Enrollment ID | O20081015000464 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487819447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22293 (Alabama) | Primary |
Provider Name | Karen L Manning |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356323901 PECOS PAC ID: 5193883445 Enrollment ID: I20081015000511 |
Provider Name | Jennifer N Dees |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780825208 PECOS PAC ID: 8123177623 Enrollment ID: I20090512000393 |
Provider Name | Logan Dees Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154182129 PECOS PAC ID: 9638517170 Enrollment ID: I20240403002895 |