Grant Primary Care | |
4500 Main St Grant AL 35747-8303 | |
(256) 728-8600 | |
Not Available |
Full Name | Grant Primary Care |
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Speciality | Family Medicine |
Location | 4500 Main St, Grant, Alabama |
Authorized Official Name and Position | Kathy B Nelson (CFO) |
Authorized Official Contact | 2568946600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grant Primary Care P.o. Box 11407 Dept #0132 Birmingham AL 35246-0132 Ph: (256) 728-8600 | Grant Primary Care 4500 Main St Grant AL 35747-8303 Ph: (256) 728-8600 |
NPI Number | 1104149442 |
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Provider Enumeration Date | 03/01/2010 |
Last Update Date | 03/15/2011 |
Medicare PECOS PAC ID | 8325162472 |
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Medicare Enrollment ID | O20100826000772 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104149442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Amanda L Storey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295883031 PECOS PAC ID: 9739288390 Enrollment ID: I20130628000189 |
Provider Name | Diana C Rembert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467514331 PECOS PAC ID: 9133449275 Enrollment ID: I20150513001860 |
Provider Name | Stephanie M Rice |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447723184 PECOS PAC ID: 9931449170 Enrollment ID: I20190326000037 |
Provider Name | Erin Beasley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679103808 PECOS PAC ID: 3476979337 Enrollment ID: I20200821002826 |
Provider Name | Dana A Allen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407884869 PECOS PAC ID: 8426951112 Enrollment ID: I20221220001246 |
Grant Wellness Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4630 Main St, Grant, AL 35747 Phone: 256-728-7620 | |
Grant Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Main St, Grant, AL 35747 Phone: 256-728-8600 Fax: 256-728-8602 | |
Grant Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 2nd Ave, Grant, AL 35747 Phone: 256-728-4219 Fax: 256-728-7793 | |
Grant Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5447 Main Street, Grant, AL 35747 Phone: 256-728-2272 Fax: 256-728-2282 |