| Hmc Rural Health Clinic Llc | |
|
2201 N Airport Rd Jasper AL 35504-7058 | |
| (205) 221-9351 | |
| (205) 221-3700 |
| Full Name | Hmc Rural Health Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2201 N Airport Rd, Jasper, Alabama |
| Authorized Official Name and Position | Delinda Stiles (ASSISTANT OFFICE MANAGER) |
| Authorized Official Contact | 2052219351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hmc Rural Health Clinic Llc Po Box 1571 Jasper AL 35502-1571 Ph: (205) 221-9351 | Hmc Rural Health Clinic Llc 2201 N Airport Rd Jasper AL 35504-7058 Ph: (205) 221-9351 |
| NPI Number | 1174525950 |
|---|---|
| Provider Enumeration Date | 08/11/2005 |
| Last Update Date | 05/09/2019 |
| Medicare PECOS PAC ID | 9638210636 |
|---|---|
| Medicare Enrollment ID | O20100113000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174525950 | NPI | - | NPPES |
| 541003878 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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