| Decatur Primary Care | |
|
1304 13th Avenue S.e. Suite F Decatur AL 35601 | |
| (256) 332-1631 | |
| (256) 332-4600 |
| Full Name | Decatur Primary Care |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1304 13th Avenue S.e., Decatur, Alabama |
| Authorized Official Name and Position | Kathy L Hall (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2563321631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Primary Care Po Box 970 Russellville AL 35653-0970 Ph: (256) 332-1631 | Decatur Primary Care 1304 13th Avenue S.e. Suite F Decatur AL 35601 Ph: (256) 332-1631 |
| NPI Number | 1609948306 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 10/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609948306 | NPI | - | NPPES |
| 01200280 | Other | BLUE CROSS BLUE SHIELD AL | |
| 630005001 | Medicaid | AL | |
| 01-1902 | Other | AL | MEDICARE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Alabama) | Primary |
Michael A. Henngian, M.d., P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 14th Ave Se, Decatur, AL 35601 Phone: 256-351-1990 | |
Whitfield Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2828 Highway 31 S Ste 111, Decatur, AL 35603 Phone: 256-686-3456 | |
Decatur Gastroenterology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 15th Ave Se, Decatur, AL 35601 Phone: 256-350-0153 Fax: 256-350-0156 | |
M. Neel Roberts, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 7th St Se, Suite 120, Decatur, AL 35601 Phone: 256-341-0715 Fax: 256-341-0229 | |
Decatur Internal Medicine Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2506 Danville Rd Sw, Suite 101, Decatur, AL 35603 Phone: 256-350-6363 Fax: 256-350-6855 | |
Internal Medicine Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 7th St Se, Decatur, AL 35601 Phone: 256-350-6182 Fax: 256-350-6184 | |
Dba River Oaks Family Medicine And Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1813 Beltline Rd Sw, Decatur, AL 35601 Phone: 256-353-6874 |