| Montevallo Family Health Center | |
|
33 Salem Rd Montevallo AL 35115-3586 | |
| (334) 420-5001 | |
| (334) 420-0160 |
| Full Name | Montevallo Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 33 Salem Rd, Montevallo, Alabama |
| Authorized Official Name and Position | Susie Ann Jones (CFO) |
| Authorized Official Contact | 3344205001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montevallo Family Health Center 1845 Cherry St Montgomery AL 36107-2613 Ph: (334) 420-5001 | Montevallo Family Health Center 33 Salem Rd Montevallo AL 35115-3586 Ph: (334) 420-5001 |
| NPI Number | 1891257390 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 11/29/2023 |
| Medicare PECOS PAC ID | 1557324811 |
|---|---|
| Medicare Enrollment ID | O20191105000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891257390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Montevallo Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 Salem Rd, Suite 1, Montevallo, AL 35115 Phone: 205-665-7991 Fax: 205-665-2913 |