| Pickens County Primary Care, Pc | |
|
535 4th St Nw Gordo AL 35466-2558 | |
| (205) 656-4872 | |
| Not Available |
| Full Name | Pickens County Primary Care, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 535 4th St Nw, Gordo, Alabama |
| Authorized Official Name and Position | Julia L Boothe (OWNER) |
| Authorized Official Contact | 2057926702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pickens County Primary Care, Pc Po Box 1000 Reform AL 35481-1000 Ph: (205) 656-4872 | Pickens County Primary Care, Pc 535 4th St Nw Gordo AL 35466-2558 Ph: (205) 656-4872 |
| NPI Number | 1295421667 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 07/11/2023 |
| Medicare PECOS PAC ID | 1658597307 |
|---|---|
| Medicare Enrollment ID | O20230809003729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295421667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | 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 | |
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 |