Mercedes-vance | |
33 Daimler Benz Blvd Vance AL 35490 | |
(205) 507-2900 | |
(205) 507-2950 |
Full Name | Mercedes-vance |
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Speciality | Clinic/Center |
Location | 33 Daimler Benz Blvd, Vance, Alabama |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mercedes-vance 5500 Maryland Way Brentwood TN 37027-7048 Ph: (205) 507-2900 | Mercedes-vance 33 Daimler Benz Blvd Vance AL 35490 Ph: (205) 507-2900 |
NPI Number | 1518631514 |
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Provider Enumeration Date | 08/03/2021 |
Last Update Date | 08/25/2022 |
Medicare PECOS PAC ID | 0446239669 |
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Medicare Enrollment ID | O20211112000153 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518631514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carehere Clinic- Mercedes (mbusi Family Wellness Center, 1 Mercedes Way, Vance, AL 35490 Phone: 615-221-5901 |