Greene County Hospital Physicians' Clinic | |
607 Wilson Ave Eutaw AL 35462 | |
(205) 372-4035 | |
(205) 372-1228 |
Full Name | Greene County Hospital Physicians' Clinic |
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Speciality | Clinic/Center |
Location | 607 Wilson Ave, Eutaw, Alabama |
Authorized Official Name and Position | Marcia Pugh (CHIEF EXECUTIVE OFFICER (CEO)) |
Authorized Official Contact | 2059948629 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Greene County Hospital Physicians' Clinic 607 Wilson Ave Eutaw AL 35462 Ph: (205) 372-4035 | Greene County Hospital Physicians' Clinic 607 Wilson Ave Eutaw AL 35462 Ph: (205) 372-4035 |
NPI Number | 1043389398 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 02/15/2024 |
Medicare PECOS PAC ID | 7416948880 |
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Medicare Enrollment ID | O20040524000580 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043389398 | NPI | - | NPPES |
55890030 | Medicaid | AL | |
010532 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Michael N Gordon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235240516 PECOS PAC ID: 0244132918 Enrollment ID: I20040211000366 |
Provider Name | Mohammed Salehuddin |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1942394986 PECOS PAC ID: 0648242792 Enrollment ID: I20040809001381 |
Provider Name | Jamil Meloelain |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538262076 PECOS PAC ID: 0749206977 Enrollment ID: I20051018000330 |
Provider Name | Salahuddin Farooqui |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447353982 PECOS PAC ID: 0941325682 Enrollment ID: I20100917000482 |
Provider Name | Bobbie Ann Curtis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972823813 PECOS PAC ID: 8527230788 Enrollment ID: I20111012000039 |
Eutaw Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Morrow Ave, Eutaw, AL 35462 Phone: 205-372-0011 Fax: 205-372-9079 |