| Harpersville Medical Clinic | |
|
2017 Canyon Road Suite # 39 Birmingham AL 35216-1928 | |
| (205) 871-7746 | |
| (205) 871-9234 |
| Full Name | Harpersville Medical Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2017 Canyon Road, Birmingham, Alabama |
| Authorized Official Name and Position | Catherine C Crow (ADMINISTRATOR) |
| Authorized Official Contact | 2058717746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harpersville Medical Clinic 2017 Canyon Road Suite # 39 Birmingham AL 35216-1928 Ph: (205) 871-7746 | Harpersville Medical Clinic 2017 Canyon Road Suite # 39 Birmingham AL 35216-1928 Ph: (205) 871-7746 |
| NPI Number | 1972558831 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 06/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972558831 | NPI | - | NPPES |
| ACSC7326 | Other | AL | CHARLES B. CROW III, M.D. |
| 1356338842 | Other | AL | NPI CHARLES CROW |
| 009941415 | Medicaid | AL | |
| 009944205 | Medicaid | AL | |
| 000095978 | Medicaid | AL | |
| 000095980 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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