| Mch Primary Care Center | |
|
1075 Drewry Road Monroeville AL 36460 | |
| (251) 575-3111 | |
| (251) 743-7445 |
| Full Name | Mch Primary Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1075 Drewry Road, Monroeville, Alabama |
| Authorized Official Name and Position | Charles Wesley Nall (CEO) |
| Authorized Official Contact | 2517437430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mch Primary Care Center P.o. Box 886 Monroeville AL 36460 Ph: (251) 575-3111 | Mch Primary Care Center 1075 Drewry Road Monroeville AL 36460 Ph: (251) 575-3111 |
| NPI Number | 1053592295 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 07/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053592295 | NPI | - | NPPES |
| 529911710 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Alabama) | Primary |
| 207Q00000X | Family Medicine | (Indiana) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Secondary |
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