| Crenshaw Family Care Center | |
|
58 Roy Beall Dr Luverne AL 36049-6800 | |
| (334) 335-1212 | |
| (334) 335-1217 |
| Full Name | Crenshaw Family Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 58 Roy Beall Dr, Luverne, Alabama |
| Authorized Official Name and Position | Michael Andrew Kimbro (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3343353374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crenshaw Family Care Center 101 Hospital Circle Luverne AL 36049-7344 Ph: (334) 335-3374 | Crenshaw Family Care Center 58 Roy Beall Dr Luverne AL 36049-6800 Ph: (334) 335-1212 |
| NPI Number | 1194811901 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 07/20/2020 |
| Medicare PECOS PAC ID | 4385073436 |
|---|---|
| Medicare Enrollment ID | O20200527001437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194811901 | NPI | - | NPPES |
| 540003411 | Medicaid | AL | |
| 051518337 | Other | AL | BC PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Crenshaw Immediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Cir, Luverne, AL 36049 Phone: 334-386-0343 Fax: 334-386-0382 | |
Crenshaw Family Care Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 58 Roy Beall Dr, Luverne, AL 36049 Phone: 334-335-1212 | |
Crenshaw Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 58 Roy Beall Dr, Luverne, AL 36049 Phone: 334-335-1212 Fax: 334-335-1217 | |
Family Practice Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1704 S Forest Ave, Luverne, AL 36049 Phone: 334-335-3383 Fax: 334-335-3078 |