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1369a George Wallace Hwy Russellville AL 35654-3281 | |
(256) 331-9700 | |
(256) 331-2615 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1369a George Wallace Hwy, Russellville, Alabama |
Authorized Official Name and Position | Vincent Bonetti (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
Authorized Official Contact | 2562659641 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1369a George Wallace Hwy Russellville AL 35654-3281 Ph: (256) 331-9700 | 1369a George Wallace Hwy Russellville AL 35654-3281 Ph: (256) 331-9700 |
NPI Number | 1669830881 |
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Provider Enumeration Date | 02/02/2016 |
Last Update Date | 02/02/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669830881 | NPI | - | NPPES |
169067 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | B1705 (Alabama) | Primary |
Russellville Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 535 Gandy St Ne, Russellville, AL 35653 Phone: 256-332-1120 Fax: 256-332-1198 | |
John R Almirol M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Jackson Ave S, Russellville, AL 35653 Phone: 256-332-3321 Fax: 256-331-0720 | |
Family Medicine Of Russellville Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Gandy St Ne, Russellville, AL 35653 Phone: 256-332-8969 Fax: 256-332-8353 |