North Jackson Primary Care | |
42319 Us Highway 72 Stevenson AL 35772-5418 | |
(256) 437-2223 | |
(256) 437-2225 |
Full Name | North Jackson Primary Care |
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Speciality | Family Medicine |
Location | 42319 Us Highway 72, Stevenson, Alabama |
Authorized Official Name and Position | Ronald Calhoun (OWNER) |
Authorized Official Contact | 2564372223 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Jackson Primary Care 42319 Us Highway 72 Po Box 406 Stevenson AL 35772-5418 Ph: (256) 437-2223 | North Jackson Primary Care 42319 Us Highway 72 Stevenson AL 35772-5418 Ph: (256) 437-2223 |
NPI Number | 1679654339 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 10/10/2013 |
Medicare PECOS PAC ID | 5698774024 |
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Medicare Enrollment ID | O20061213000320 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679654339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00026933 (Alabama) | Primary |
Provider Name | Ronald E Calhoun |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942210745 PECOS PAC ID: 4587699327 Enrollment ID: I20050930000159 |
Stevenson Medical Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 196 County Road 85, Stevenson, AL 35772 Phone: 256-437-2272 Fax: 256-437-2273 | |
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