| Northeast Alabama Health & Wellness, Llc | |
|
124 Mccurdy Ave S Rainsville AL 35986-5206 | |
| (256) 996-4158 | |
| Not Available |
| Full Name | Northeast Alabama Health & Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 Mccurdy Ave S, Rainsville, Alabama |
| Authorized Official Name and Position | Tyson Scott Rainer (CRNP/OWNER) |
| Authorized Official Contact | 2566388513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Alabama Health & Wellness, Llc Po Box 2420 Rainsville AL 35986 Ph: () - | Northeast Alabama Health & Wellness, Llc 124 Mccurdy Ave S Rainsville AL 35986-5206 Ph: (256) 996-4158 |
| NPI Number | 1578294864 |
|---|---|
| Provider Enumeration Date | 06/18/2022 |
| Last Update Date | 11/01/2022 |
| Medicare PECOS PAC ID | 8123400512 |
|---|---|
| Medicare Enrollment ID | O20220802000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578294864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Tyson S Rainer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407363146 PECOS PAC ID: 3375806185 Enrollment ID: I20180409001915 |
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