| Imc-family Medical Of Jackson, Pc | |
|
227 Hospital Dr Jackson AL 36545-2423 | |
| (251) 246-4446 | |
| (251) 246-5111 |
| Full Name | Imc-family Medical Of Jackson, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 227 Hospital Dr, Jackson, Alabama |
| Authorized Official Name and Position | Sidney S Crosby (PRESIDENT) |
| Authorized Official Contact | 2512464446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imc-family Medical Of Jackson, Pc 227 Hospital Dr Jackson AL 36545-2423 Ph: (251) 246-4446 | Imc-family Medical Of Jackson, Pc 227 Hospital Dr Jackson AL 36545-2423 Ph: (251) 246-4446 |
| NPI Number | 1750393682 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 02/23/2018 |
| Medicare PECOS PAC ID | 4880502012 |
|---|---|
| Medicare Enrollment ID | O20051130000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750393682 | NPI | - | NPPES |
| 529700760 | Medicaid | AL | |
| 541003926 | Other | AL | MEDICAID GROUP # |
| 541003926 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Norman Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770583742 PECOS PAC ID: 2062320294 Enrollment ID: I20090210000558 |
| Provider Name | Sidney Crosby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982604948 PECOS PAC ID: 7517875743 Enrollment ID: I20090217000185 |
| Provider Name | Steven P Furr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639179609 PECOS PAC ID: 4789592916 Enrollment ID: I20100630000095 |
| Provider Name | Ashley Dan Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124216551 PECOS PAC ID: 5294916979 Enrollment ID: I20110301000499 |
| Provider Name | Jessie L Criswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992244206 PECOS PAC ID: 4082987037 Enrollment ID: I20170913002192 |
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Jackson Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Hospital Dr, Jackson, AL 36545 Phone: 251-246-9021 | |
Family Medical Clinic Of Jackson Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 227 Hospital Dr, Jackson, AL 36545 Phone: 251-246-4446 | |
Total Spine Surgical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 College Ave, Jackson, AL 36545 Phone: 251-246-7333 | |
Jackson Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Hospital Dr, Jackson, AL 36545 Phone: 251-246-1154 Fax: 251-246-1108 |