| Pisgah Medical Clinic | |
|
6110 County Road 88 Pisgah AL 35765 | |
| (256) 451-1250 | |
| (256) 451-1270 |
| Full Name | Pisgah Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 6110 County Road 88, Pisgah, Alabama |
| Authorized Official Name and Position | Muhammad Ejaz Ata (OWNER) |
| Authorized Official Contact | 2564511250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pisgah Medical Clinic Po Box 246 Pisgah AL 35765-0246 Ph: (256) 451-1250 | Pisgah Medical Clinic 6110 County Road 88 Pisgah AL 35765 Ph: (256) 451-1250 |
| NPI Number | 1679827497 |
|---|---|
| Provider Enumeration Date | 10/31/2012 |
| Last Update Date | 10/17/2024 |
| Medicare PECOS PAC ID | 0941326888 |
|---|---|
| Medicare Enrollment ID | O20130116000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679827497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Pisgah Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6110 County Road 88, Pisgah Medical Clinic, Pisgah, AL 35765 Phone: 256-451-1250 Fax: 256-451-1270 | |
Pisgah Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6110 County Road 88, Pisgah Medical Clinic, Pisgah, AL 35765 Phone: 256-451-1250 Fax: 256-451-1270 |