Full Name | |
---|---|
Speciality | Family Medicine |
Location | 938 Ross St, Heflin, Alabama |
Authorized Official Name and Position | Lloyd James (PRESIDENT) |
Authorized Official Contact | 2564632601 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
938 Ross St Heflin AL 36264-1134 Ph: (256) 463-2601 | 938 Ross St Heflin AL 36264-1134 Ph: (256) 463-2601 |
NPI Number | 1912036914 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 09/30/2024 |
Medicare PECOS PAC ID | 4284736638 |
---|---|
Medicare Enrollment ID | O20070316000444 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912036914 | NPI | - | NPPES |
009913117 | Medicaid | AL | |
009939281 | Medicaid | AL | |
009941458 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 26816 (Alabama) | Primary |
Provider Name | Lloyd James |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023076650 PECOS PAC ID: 6103855275 Enrollment ID: I20050809000960 |
Cleburne Medical Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 40 Giles St, Heflin, AL 36264 Phone: 256-463-7454 Fax: 256-463-7725 | |
Tanner Primary Care Of Heflin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Tompkins St, Heflin, AL 36264 Phone: 770-812-6570 Fax: 770-812-6575 | |