| Cove Family & Sports Medicine | |
|
5540 Highway 431 S Brownsboro AL 35741-9771 | |
| (256) 533-3003 | |
| (256) 533-3013 |
| Full Name | Cove Family & Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 5540 Highway 431 S, Brownsboro, Alabama |
| Authorized Official Name and Position | Jonathan Edward Krichev (PRESIDENT) |
| Authorized Official Contact | 2565333003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cove Family & Sports Medicine 5540 Highway 431 S Brownsboro AL 35741-9771 Ph: (256) 533-3003 | Cove Family & Sports Medicine 5540 Highway 431 S Brownsboro AL 35741-9771 Ph: (256) 533-3003 |
| NPI Number | 1740305952 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 12/15/2010 |
| Medicare PECOS PAC ID | 9537105960 |
|---|---|
| Medicare Enrollment ID | O20050707000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740305952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 25501 (Alabama) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 25501 (Alabama) | Secondary |
| Provider Name | Jonathan E Krichev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407807621 PECOS PAC ID: 6507802931 Enrollment ID: I20050711000672 |
| Provider Name | Alicia K Krichev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700838638 PECOS PAC ID: 1052357480 Enrollment ID: I20050711000686 |
Flint River Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5575 Highway 431 S Ste 104, Brownsboro, AL 35741 Phone: 256-469-6487 Fax: 256-585-3852 |