Lawrence Rural Health Clinic, Moulton/lawrence Urgent Care Center | |
10939 Al Highway 157 Moulton AL 35650-1900 | |
(256) 974-8440 | |
(256) 974-6993 |
Full Name | Lawrence Rural Health Clinic, Moulton/lawrence Urgent Care Center |
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Speciality | Clinic/Center |
Location | 10939 Al Highway 157, Moulton, 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, Moulton/lawrence Urgent Care Center 10939 Al Highway 157 Moulton AL 35650-1900 Ph: (256) 974-8440 | Lawrence Rural Health Clinic, Moulton/lawrence Urgent Care Center 10939 Al Highway 157 Moulton AL 35650-1900 Ph: (256) 974-8440 |
NPI Number | 1124062286 |
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Provider Enumeration Date | 06/16/2006 |
Last Update Date | 07/25/2019 |
Medicare PECOS PAC ID | 6406895382 |
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Medicare Enrollment ID | O20050502000986 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124062286 | NPI | - | NPPES |
540003994 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Ashley Tice Letson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932798428 PECOS PAC ID: 2466869318 Enrollment ID: I20210322001344 |
Donald E Beach Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 633 Lawrence St, Moulton, AL 35650 Phone: 256-974-6646 Fax: 256-974-8654 | |
Complete Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 94 Medical Cir, Moulton, AL 35650 Phone: 256-974-9216 Fax: 256-974-8211 | |
Intrepid Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Medical Cir, Moulton, AL 35650 Phone: 256-974-0606 Fax: 256-974-4530 | |
Family Care First, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11809 Al Highway 157, Ste E, Moulton, AL 35650 Phone: 256-905-0340 Fax: 256-905-0346 | |
Complete Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 94 Medical Cir, Moulton, AL 35650 Phone: 256-974-9216 Fax: 256-974-8211 | |
Moulton Primary Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 40 Medical Cir, Moulton, AL 35650 Phone: 256-974-0606 Fax: 256-522-2227 |