Pickens County Primary Care, P.c | |
630 4th St Nw Gordo AL 35466 | |
(205) 375-6251 | |
(205) 375-9064 |
Full Name | Pickens County Primary Care, P.c |
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Speciality | Clinic/Center |
Location | 630 4th St Nw, Gordo, Alabama |
Authorized Official Name and Position | Julia L Boothe (OWNER) |
Authorized Official Contact | 2057926701 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pickens County Primary Care, P.c 108 4th Ave Sw Ste A Reform AL 35481-8018 Ph: (205) 375-6251 | Pickens County Primary Care, P.c 630 4th St Nw Gordo AL 35466 Ph: (205) 375-6251 |
NPI Number | 1063988806 |
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Provider Enumeration Date | 10/19/2018 |
Last Update Date | 02/19/2020 |
Medicare PECOS PAC ID | 1658597307 |
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Medicare Enrollment ID | O20190914000180 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063988806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Brandy Kelley Junkin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902259443 PECOS PAC ID: 7416241575 Enrollment ID: I20160811002504 |
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 | |
Pickens County Family Practice Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27340 Highway 86, Gordo, AL 35466 Phone: 205-364-7135 Fax: 205-364-8244 |