| |
15225 Highway 43 Suite B Russellville AL 35653-1999 | |
(256) 331-1449 | |
(256) 331-5829 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 15225 Highway 43, Russellville, Alabama |
Authorized Official Name and Position | Jess N Judy (VICE PRESIDENT) |
Authorized Official Contact | 6153728500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1216 Russellville AL 35653-1216 Ph: (256) 331-1449 | 15225 Highway 43 Suite B Russellville AL 35653-1999 Ph: (256) 331-1449 |
NPI Number | 1689956500 |
---|---|
Provider Enumeration Date | 09/16/2011 |
Last Update Date | 06/07/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689956500 | NPI | - | NPPES |
132812 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 31115 (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 |