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 |
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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 |
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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 |
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Provider Enumeration Date | 08/11/2005 |
Last Update Date | 05/09/2019 |
Medicare PECOS PAC ID | 9638210636 |
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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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