Lawrence Rural Health Clinic,courtland | |
350 Tennessee Street Courtland AL 35618 | |
(256) 637-8033 | |
(256) 637-9424 |
Full Name | Lawrence Rural Health Clinic,courtland |
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Speciality | Clinic/Center |
Location | 350 Tennessee Street, Courtland, Alabama |
Authorized Official Name and Position | Dean Griffin (CEO) |
Authorized Official Contact | 2569742286 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lawrence Rural Health Clinic,courtland 350 Tennessee Street Courtland AL 35618 Ph: (256) 637-8033 | Lawrence Rural Health Clinic,courtland 350 Tennessee Street Courtland AL 35618 Ph: (256) 637-8033 |
NPI Number | 1033155791 |
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Provider Enumeration Date | 06/21/2006 |
Last Update Date | 07/25/2019 |
Medicare PECOS PAC ID | 6406895382 |
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Medicare Enrollment ID | O20050502001225 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033155791 | NPI | - | NPPES |
540003401 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Premise Health Of Alabama Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lockheed Martin Way # Ib1, Courtland, AL 35618 Phone: 256-637-1021 Fax: 256-669-8352 |