| Hurtsboro Adult And Pediatric Medicine, Llc | |
|
512 Main Street Hurtsboro AL 36860 | |
| (334) 232-6551 | |
| (334) 384-9923 |
| Full Name | Hurtsboro Adult And Pediatric Medicine, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 512 Main Street, Hurtsboro, Alabama |
| Authorized Official Name and Position | Pamela Baker (SOLE MEMBER) |
| Authorized Official Contact | 3343329130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hurtsboro Adult And Pediatric Medicine, Llc 733 Annabrook Dr Auburn AL 36830-7529 Ph: (334) 332-9130 | Hurtsboro Adult And Pediatric Medicine, Llc 512 Main Street Hurtsboro AL 36860 Ph: (334) 232-6551 |
| NPI Number | 1447085089 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 09/04/2024 |
| Medicare PECOS PAC ID | 0547794067 |
|---|---|
| Medicare Enrollment ID | O20241106002838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447085089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Pamela Grace Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477102390 PECOS PAC ID: 5496085680 Enrollment ID: I20191002000356 |
The Health Care Authority Of The City Of Eufaula Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 512 Main Street, Hurtsboro, AL 36860 Phone: 334-232-6551 | |