| Mission Square Medical Clinic | |
|
4820 University Dr Nw Suite 35 Huntsville AL 35816-1867 | |
| (256) 721-9444 | |
| Not Available |
| Full Name | Mission Square Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4820 University Dr Nw, Huntsville, Alabama |
| Authorized Official Name and Position | Schara Davis (SOLE MEMBER) |
| Authorized Official Contact | 2567219444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Square Medical Clinic 119 Lawson Wall Dr Huntsville AL 35806-4002 Ph: () - | Mission Square Medical Clinic 4820 University Dr Nw Suite 35 Huntsville AL 35816-1867 Ph: (256) 721-9444 |
| NPI Number | 1477975696 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/23/2014 |
| Medicare PECOS PAC ID | 0648402230 |
|---|---|
| Medicare Enrollment ID | O20140414001338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477975696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962722769 PECOS PAC ID: 5193999779 Enrollment ID: I20111116000453 |
| Provider Name | Melissa Aycock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093107369 PECOS PAC ID: 1658677562 Enrollment ID: I20160302001788 |
| Provider Name | Maria Rachuonyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265075626 PECOS PAC ID: 8628499589 Enrollment ID: I20200601001176 |
Bptcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Longwood Dr, Sw, Huntsville, AL 35801 Phone: 256-534-5946 Fax: 256-534-3041 | |
Inspirational Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Market St Ste 100, Huntsville, AL 35808 Phone: 256-210-4925 | |
Gleneagles Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 Gleneagles Dr Sw, Huntsville, AL 35801 Phone: 256-881-5880 Fax: 256-883-3280 | |
Magnolia Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4245 Balmoral Dr Sw Ste 102, Huntsville, AL 35801 Phone: 256-203-6676 Fax: 833-979-0980 | |
Five Points Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Pratt Ave Ne, Huntsville, AL 35801 Phone: 256-714-3363 | |
Davis Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7850 Memorial Pkwy Sw, Huntsville, AL 35802 Phone: 256-882-0132 Fax: 256-882-1461 | |
Crestani Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2745 Bob Wallace Ave Sw, Suite D, Huntsville, AL 35805 Phone: 256-534-1323 Fax: 256-534-1780 |