Dekalb Primary Care | |
200 Medical Center Dr Sw Fort Payne AL 35968-3458 | |
(256) 845-3150 | |
Not Available |
Full Name | Dekalb Primary Care |
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Speciality | Clinic/Center |
Location | 200 Medical Center Dr Sw, Fort Payne, Alabama |
Authorized Official Name and Position | Clinton Carter (CFO) |
Authorized Official Contact | 2562658818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dekalb Primary Care Po Box 21007 Huntsville AL 35813-5007 Ph: (256) 801-6048 | Dekalb Primary Care 200 Medical Center Dr Sw Fort Payne AL 35968-3458 Ph: (256) 845-3150 |
NPI Number | 1528821402 |
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Provider Enumeration Date | 02/02/2024 |
Last Update Date | 02/28/2024 |
Medicare PECOS PAC ID | 3274071915 |
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Medicare Enrollment ID | O20240813003399 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528821402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Susan Ann Parker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376508218 PECOS PAC ID: 4587659511 Enrollment ID: I20040419000444 |
Provider Name | Anthony Clark Sims |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992786636 PECOS PAC ID: 3577533900 Enrollment ID: I20040812001118 |
Provider Name | James Russell Hutcherson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477756542 PECOS PAC ID: 9537249610 Enrollment ID: I20080102000019 |
Provider Name | Ricky G Deerman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043281975 PECOS PAC ID: 3375554678 Enrollment ID: I20080407000059 |
Provider Name | Jason A Ham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245560796 PECOS PAC ID: 5395929889 Enrollment ID: I20110407000291 |
Provider Name | Scott B Argo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285963421 PECOS PAC ID: 3971777350 Enrollment ID: I20111121000747 |
Provider Name | Katherine Elizabeth Woods |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083111579 PECOS PAC ID: 1052715455 Enrollment ID: I20210806002278 |
Provider Name | Barla Marie Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568600617 PECOS PAC ID: 7719272590 Enrollment ID: I20230905003708 |
C & H Discount Drugs Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1916 Gault Ave N, Fort Payne, AL 35967 Phone: 256-845-2004 Fax: 256-845-7839 | |
Hh Health System - Dekalb Rhc, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-997-2145 Fax: 256-997-2512 | |
Rainsville Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-845-1401 Fax: 256-845-1402 | |
Northside Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 Greenhill Blvd Nw, Fort Payne, AL 35967 Phone: 256-845-9355 | |
Doctors Med Care Of Fort Payne, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Glenn Blvd Sw, Fort Payne, AL 35967 Phone: 256-845-6900 Fax: 256-845-6905 | |
Truecare Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 613 Gault Ave S, Fort Payne, AL 35967 Phone: 256-364-8875 Fax: 256-364-8875 |