| Eva Familt Health Clinic Llc | |
|
4208 Eva Rd Ste B Eva AL 35621-7629 | |
| (256) 735-4154 | |
| Not Available |
| Full Name | Eva Familt Health Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4208 Eva Rd Ste B, Eva, Alabama |
| Authorized Official Name and Position | Julie Knop (CEO) |
| Authorized Official Contact | 2567354154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eva Familt Health Clinic Llc 4208 Eva Rd Ste B Eva AL 35621-7629 Ph: (256) 735-4154 | Eva Familt Health Clinic Llc 4208 Eva Rd Ste B Eva AL 35621-7629 Ph: (256) 735-4154 |
| NPI Number | 1912659996 |
|---|---|
| Provider Enumeration Date | 01/21/2022 |
| Last Update Date | 06/30/2022 |
| Medicare PECOS PAC ID | 7113307679 |
|---|---|
| Medicare Enrollment ID | O20220630002122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912659996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Julie Grace Knop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275038549 PECOS PAC ID: 9739439845 Enrollment ID: I20180912000096 |
Eva Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4208 Eva Rd, Eva, AL 35621 Phone: 256-796-5260 Fax: 256-796-4639 | |
Central North Alabama Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4208 Eva Rd, Suite B, Eva, AL 35621 Phone: 256-796-7264 Fax: 256-796-2148 |