| Grant Wellness Clinic, Llc | |
|
4630 Main St Grant AL 35747-8308 | |
| (256) 728-7620 | |
| Not Available |
| Full Name | Grant Wellness Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4630 Main St, Grant, Alabama |
| Authorized Official Name and Position | Stephanie M Rice (NURSE PRACTITIONER) |
| Authorized Official Contact | 2567287620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Wellness Clinic, Llc 4630 Main St Grant AL 35747-8308 Ph: (256) 728-7620 | Grant Wellness Clinic, Llc 4630 Main St Grant AL 35747-8308 Ph: (256) 728-7620 |
| NPI Number | 1295329910 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 03/08/2021 |
| Medicare PECOS PAC ID | 3072929181 |
|---|---|
| Medicare Enrollment ID | O20210315001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295329910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephanie M Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447723184 PECOS PAC ID: 9931449170 Enrollment ID: I20190326000037 |
Grant Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4500 Main St, Grant, AL 35747 Phone: 256-728-8600 | |
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 |