Huntsville Hospital Medical Clinic At Hampton Co | |
262 Sutton Road Owens Cross Roads AL 35763-8753 | |
(256) 265-0350 | |
(256) 265-0357 |
Full Name | Huntsville Hospital Medical Clinic At Hampton Co |
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Speciality | Clinic/Center |
Location | 262 Sutton Road, Owens Cross Roads, Alabama |
Authorized Official Name and Position | Kelli S Powers (CFO) |
Authorized Official Contact | 2562658818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Huntsville Hospital Medical Clinic At Hampton Co Po Box 2705 Huntsville AL 35804-2705 Ph: (256) 801-6036 | Huntsville Hospital Medical Clinic At Hampton Co 262 Sutton Road Owens Cross Roads AL 35763-8753 Ph: (256) 265-0350 |
NPI Number | 1154641520 |
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Provider Enumeration Date | 06/08/2010 |
Last Update Date | 02/25/2020 |
Medicare PECOS PAC ID | 8022133644 |
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Medicare Enrollment ID | O20100920000093 |
Identifier | Type | State | Issuer |
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1154641520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Kandess Johnson Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275764755 PECOS PAC ID: 2365566098 Enrollment ID: I20100901000358 |
Provider Name | Daniel C Burnes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487851077 PECOS PAC ID: 6002931623 Enrollment ID: I20100920000130 |
Provider Name | James M Morrison |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437352523 PECOS PAC ID: 1456476084 Enrollment ID: I20100920000155 |
Provider Name | Briana G Woodfin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487913349 PECOS PAC ID: 5294989554 Enrollment ID: I20130214000167 |
Provider Name | Prasanna Allada |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902197825 PECOS PAC ID: 3476772898 Enrollment ID: I20140917002461 |
Provider Name | Rakhshanda A Khan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306105341 PECOS PAC ID: 8123257029 Enrollment ID: I20150810002937 |
Cove Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 180 Old Highway 431 Ste C, Owens Cross Roads, AL 35763 Phone: 256-585-3961 Fax: 256-585-3971 | |
Melissa Deberry Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 180 Old Highway 431 Ste C, Owens Cross Roads, AL 35763 Phone: 256-585-3961 Fax: 256-585-3971 |