| Mowa Choctaw Tribal Clinic | |
|
1080 Red Fox Rd W Mount Vernon AL 36560-2629 | |
| (251) 829-9023 | |
| (855) 933-1195 |
| Full Name | Mowa Choctaw Tribal Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1080 Red Fox Rd W, Mount Vernon, Alabama |
| Authorized Official Name and Position | Lebaron Byrd (CHIEF) |
| Authorized Official Contact | 2517860829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mowa Choctaw Tribal Clinic 1080 Red Fox Rd W Mount Vernon AL 36560-2629 Ph: (251) 786-0829 | Mowa Choctaw Tribal Clinic 1080 Red Fox Rd W Mount Vernon AL 36560-2629 Ph: (251) 829-9023 |
| NPI Number | 1336907948 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 04/17/2024 |
| Medicare PECOS PAC ID | 8921540311 |
|---|---|
| Medicare Enrollment ID | O20240613001147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336907948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rahel Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902354277 PECOS PAC ID: 7810273976 Enrollment ID: I20170404002575 |
North Mobile Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 East Coy Smith Hwy, Mount Vernon, AL 36560 Phone: 251-829-9884 Fax: 251-829-9507 | |
Calcedeaver Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1080 Reservation Rd, Mount Vernon, AL 36560 Phone: 251-829-9884 Fax: 251-866-9121 |