| Montevallo Family Medicine, Llc | |
|
33 Salem Rd Suite 1 Montevallo AL 35115-3586 | |
| (205) 665-7991 | |
| (205) 665-2913 |
| Full Name | Montevallo Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 33 Salem Rd, Montevallo, Alabama |
| Authorized Official Name and Position | Jonathan C. Merkle (PHYSICIAN) |
| Authorized Official Contact | 2056657991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montevallo Family Medicine, Llc 33 Salem Rd Suite 1 Montevallo AL 35115-3586 Ph: (205) 665-7991 | Montevallo Family Medicine, Llc 33 Salem Rd Suite 1 Montevallo AL 35115-3586 Ph: (205) 665-7991 |
| NPI Number | 1720009962 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 11/07/2011 |
| Medicare PECOS PAC ID | 5496944092 |
|---|---|
| Medicare Enrollment ID | O20110113000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720009962 | NPI | - | NPPES |
| 529911870 | Medicaid | AL | |
| 51517997 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21192 (Alabama) | Primary |
| Provider Name | Jonathan C Merkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720064058 PECOS PAC ID: 1153510748 Enrollment ID: I20110113000254 |
Montevallo Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 Salem Rd, Montevallo, AL 35115 Phone: 334-420-5001 Fax: 334-420-0160 |