Med 360 Urgent Care Northport Llc | |
3250 Mcfarland Blvd Northport AL 35476-3135 | |
(205) 487-4535 | |
(205) 487-8875 |
Full Name | Med 360 Urgent Care Northport Llc |
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Speciality | Family Medicine |
Location | 3250 Mcfarland Blvd, Northport, Alabama |
Authorized Official Name and Position | Farouk A Raquib (OWNER/ MD) |
Authorized Official Contact | 2054874535 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Med 360 Urgent Care Northport Llc Po Box 1140 Winfield AL 35594-1140 Ph: (205) 487-4535 | Med 360 Urgent Care Northport Llc 3250 Mcfarland Blvd Northport AL 35476-3135 Ph: (205) 487-4535 |
NPI Number | 1073238747 |
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Provider Enumeration Date | 10/05/2022 |
Last Update Date | 03/07/2024 |
Medicare PECOS PAC ID | 5193180297 |
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Medicare Enrollment ID | O20230425000451 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073238747 | NPI | - | NPPES |
512-92816 | Other | AL | BCBS |
322964 | Medicaid | AL | |
1477511194 | Other | AL | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Provider Name | Farouk A Raquib |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477511194 PECOS PAC ID: 9638150840 Enrollment ID: I20040525000842 |
Provider Name | Lauren S Sanders |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619674892 PECOS PAC ID: 4183088594 Enrollment ID: I20230918002457 |
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Northport Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2810 Lurleen Wallace Boulevard, Northport, AL 35476 Phone: 205-333-7670 Fax: 205-333-3161 | |
University Medical Center - Northport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6205 Jemison Ln, Northport, AL 35476 Phone: 205-348-6122 Fax: 205-348-6112 | |
Alabama Bariatric And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 Phone: 205-333-1500 Fax: 205-330-1505 |