| Pickens County Family Practice Center | |
|
27340 Highway 86 Gordo AL 35466-3578 | |
| (205) 364-7135 | |
| (205) 364-8244 |
| Full Name | Pickens County Family Practice Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 27340 Highway 86, Gordo, Alabama |
| Authorized Official Name and Position | David E Gay (CEO) |
| Authorized Official Contact | 2057586647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pickens County Family Practice Center 2731 Mlk Jr Blvd Tuscaloosa AL 35401-5235 Ph: (205) 349-3250 | Pickens County Family Practice Center 27340 Highway 86 Gordo AL 35466-3578 Ph: (205) 364-7135 |
| NPI Number | 1467874354 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 06/22/2021 |
| Medicare PECOS PAC ID | 8224921705 |
|---|---|
| Medicare Enrollment ID | O20140717002562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467874354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Alabama) | Primary |
Pickens County Primary Care, P.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 630 4th St Nw, Gordo, AL 35466 Phone: 205-375-6251 Fax: 205-375-9064 | |
Gordo Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27340 Highway 86, Gordo, AL 35466 Phone: 205-364-7135 Fax: 205-364-8244 | |
Pickens County Family Practice Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27340 Hwy 86, Gordo, AL 35466 Phone: 205-364-7135 | |
Pickens County Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 535 4th St Nw, Gordo, AL 35466 Phone: 205-656-4872 | |
Paul D Lavender Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27340 Hwy 86, Gordo, AL 35466 Phone: 205-364-7135 Fax: 205-364-2455 |