Outside The Box Healthcare Llc | |
5730 Us Highway 431 Albertville AL 35950-0234 | |
(256) 907-9700 | |
(256) 907-9724 |
Full Name | Outside The Box Healthcare Llc |
---|---|
Speciality | Family Medicine |
Location | 5730 Us Highway 431, Albertville, Alabama |
Authorized Official Name and Position | Millie Elizabeth Martin (PRACTICE MANAGER) |
Authorized Official Contact | 2569079700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Outside The Box Healthcare Llc 5730 Us Highway 431 Albertville AL 35950-0234 Ph: (256) 907-9700 | Outside The Box Healthcare Llc 5730 Us Highway 431 Albertville AL 35950-0234 Ph: (256) 907-9700 |
NPI Number | 1043782675 |
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Provider Enumeration Date | 12/20/2018 |
Last Update Date | 11/01/2020 |
Medicare PECOS PAC ID | 8527308766 |
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Medicare Enrollment ID | O20190325002697 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043782675 | NPI | - | NPPES |
1770591950 | Other | DR. FRANCESCA CERIMELE | |
1942830716 | Other | AL | NPI |
1588103295 | Other | AL | NPI |
1801102959 | Other | AL | NPI |
1245695667 | Other | AL | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Provider Name | Natosha Douglas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588103295 PECOS PAC ID: 3779850169 Enrollment ID: I20170607000610 |
Provider Name | Robin Scott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245695667 PECOS PAC ID: 1153594676 Enrollment ID: I20170926002811 |
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