Eclectic Family Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Eclectic, Alabama. The current practice location for Eclectic Family Health Center is 30 Main St, Eclectic, Alabama. For appointments, you can reach them via phone at
(334) 541-2116. The mailing address for Eclectic Family Health Center is Po Box 70365, Montgomery, Alabama and phone number is (334) 420-5038.
Eclectic Family Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1982626842. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(334) 541-2116.
Primary Care Clinic Profile
| Full Name | Eclectic Family Health Center |
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| Speciality | Clinic/Center |
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| Location | 30 Main St, Eclectic, Alabama |
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| Authorized Official Name and Position | Susie Ann Beal (CFO) |
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| Authorized Official Contact | 3344205001 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Eclectic Family Health Center
Po Box 70365
Montgomery
AL 36107-0365
Ph: (334) 420-5038 | Eclectic Family Health Center
30 Main St
Eclectic
AL 36024-5614
Ph: (334) 541-2116 |
NPI Details:
| NPI Number | 1982626842 |
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| Provider Enumeration Date | 07/23/2006 |
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| Last Update Date | 11/29/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1557324811 |
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| Medicare Enrollment ID | O20110622000537 |
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Medical Identifiers
Medical identifiers for Eclectic Family Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982626842 | NPI | - | NPPES |
| 01D0996054 | Other | AL | CLIA |
| 630009009 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eclectic Family Health Center acts as a billing entity for following providers:
| Provider Name | Rameen Hashemiyoon |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1346361730
PECOS PAC ID: 6002916459
Enrollment ID: I20210803001716 |
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