Moulton Primary Care Clinic | |
40 Medical Cir Moulton AL 35650-1256 | |
(256) 974-0606 | |
(256) 522-2227 |
Full Name | Moulton Primary Care Clinic |
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Speciality | Clinic/Center |
Location | 40 Medical Cir, Moulton, Alabama |
Authorized Official Name and Position | Christy Louallen (CREDENTIALING/BILLING SUPERVISOR) |
Authorized Official Contact | 2569742207 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Moulton Primary Care Clinic Po Box 340 Moulton AL 35650-0340 Ph: (256) 974-2207 | Moulton Primary Care Clinic 40 Medical Cir Moulton AL 35650-1256 Ph: (256) 974-0606 |
NPI Number | 1760930200 |
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Provider Enumeration Date | 09/13/2016 |
Last Update Date | 07/25/2019 |
Medicare PECOS PAC ID | 6406895382 |
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Medicare Enrollment ID | O20161110000779 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760930200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Donald E Beach Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 633 Lawrence St, Moulton, AL 35650 Phone: 256-974-6646 Fax: 256-974-8654 | |
Lawrence Rural Health Clinic, Moulton/lawrence Urgent Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10939 Al Highway 157, Moulton, AL 35650 Phone: 256-974-8440 Fax: 256-974-6993 | |
Complete Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 94 Medical Cir, Moulton, AL 35650 Phone: 256-974-9216 Fax: 256-974-8211 | |
Intrepid Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Medical Cir, Moulton, AL 35650 Phone: 256-974-0606 Fax: 256-974-4530 | |
Family Care First, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11809 Al Highway 157, Ste E, Moulton, AL 35650 Phone: 256-905-0340 Fax: 256-905-0346 | |
Complete Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 94 Medical Cir, Moulton, AL 35650 Phone: 256-974-9216 Fax: 256-974-8211 |