Inceptivia Health & Wellness Llc | |
420 4th St Nw Attalla AL 35954-2227 | |
(256) 558-5480 | |
(256) 376-8102 |
Full Name | Inceptivia Health & Wellness Llc |
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Speciality | Clinic/Center |
Location | 420 4th St Nw, Attalla, Alabama |
Authorized Official Name and Position | Lisa Osborne (MEMBER) |
Authorized Official Contact | 2565585480 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Inceptivia Health & Wellness Llc 1126 Mcville Rd Boaz AL 35957-6029 Ph: (256) 558-5480 | Inceptivia Health & Wellness Llc 420 4th St Nw Attalla AL 35954-2227 Ph: (256) 558-5480 |
NPI Number | 1750094744 |
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Provider Enumeration Date | 01/04/2023 |
Last Update Date | 08/24/2023 |
Medicare PECOS PAC ID | 3971969908 |
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Medicare Enrollment ID | O20230517003288 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750094744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Lisa L Osborne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285065078 PECOS PAC ID: 6002031952 Enrollment ID: I20140708002504 |
North Alabama Family Practice, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 3rd St Nw, Attalla, AL 35954 Phone: 256-538-7273 Fax: 256-538-2514 | |
Gadsden Weight Control, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 959 Gilbert Ferry Rd Se Ste K, Attalla, AL 35954 Phone: 205-709-6765 |