Pisgah Medical Clinic | |
6110 County Road 88 Pisgah AL 35765 | |
(256) 451-1250 | |
(256) 451-1270 |
Full Name | Pisgah Medical Clinic |
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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 |
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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 |
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Provider Enumeration Date | 10/31/2012 |
Last Update Date | 04/17/2013 |
Medicare PECOS PAC ID | 0941326888 |
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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 |