Family Medicine For Your Family Pc | |
505 Burlington St Scottsboro AL 35768-4216 | |
(256) 259-4100 | |
(256) 259-4104 |
Full Name | Family Medicine For Your Family Pc |
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Speciality | Family Medicine |
Location | 505 Burlington St, Scottsboro, Alabama |
Authorized Official Name and Position | Mark C Cooper (OWNER) |
Authorized Official Contact | 2562594100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medicine For Your Family Pc 505 Burlington St Scottsboro AL 35768-4216 Ph: (256) 259-4100 | Family Medicine For Your Family Pc 505 Burlington St Scottsboro AL 35768-4216 Ph: (256) 259-4100 |
NPI Number | 1811031883 |
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Provider Enumeration Date | 02/16/2007 |
Last Update Date | 07/30/2020 |
Medicare PECOS PAC ID | 6507891637 |
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Medicare Enrollment ID | O20050928000357 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811031883 | NPI | - | NPPES |
529925920 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22070 (Alabama) | Primary |
Provider Name | Mark C Cooper |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225080849 PECOS PAC ID: 1052345360 Enrollment ID: I20050926000220 |
Provider Name | Jana Jackson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528613122 PECOS PAC ID: 2769713718 Enrollment ID: I20191007001076 |
Scottsboro Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 Harley St, Scottsboro Medical Clinic, Scottsboro, AL 35768 Phone: 256-574-6157 Fax: 256-259-0560 | |
Highlands Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 507 Harley St, Scottsboro, AL 35768 Phone: 256-218-3856 Fax: 256-218-3536 | |
Hh Health System - Jackson Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1108 S Broad St Ste A, Scottsboro, AL 35768 Phone: 256-218-3230 Fax: 256-218-3249 | |
Valley Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 331 Parks Ave, Scottsboro, AL 35768 Phone: 256-451-1250 Fax: 256-451-1270 | |
Premier Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 503 Burlington Street, Scottsboro, AL 35768 Phone: 256-259-1886 | |
Northeast Alabama Health Services Inc- Skyline Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21680 Al Highway 79, Scottsboro, AL 35768 Phone: 256-587-3050 Fax: 256-587-5243 | |
Larry T. Bolton, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Parks Ave, Scottsboro, AL 35768 Phone: 256-574-3623 Fax: 256-574-6223 |