| Poarch Creek Indian Health Department | |
|
429 Buford L Rolin Dr Atmore AL 36502-5186 | |
| (251) 368-9136 | |
| Not Available |
| Full Name | Poarch Creek Indian Health Department |
|---|---|
| Speciality | Clinic/Center |
| Location | 429 Buford L Rolin Dr, Atmore, Alabama |
| Authorized Official Name and Position | Teresa Smith (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Contact | 2513689136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Poarch Creek Indian Health Department 5811 Jack Springs Rd Atmore AL 36502-5025 Ph: (251) 368-9136 | Poarch Creek Indian Health Department 429 Buford L Rolin Dr Atmore AL 36502-5186 Ph: (251) 368-9136 |
| NPI Number | 1902916489 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 05/23/2017 |
| Medicare PECOS PAC ID | 9830188085 |
|---|---|
| Medicare Enrollment ID | O20080730000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902916489 | NPI | - | NPPES |
| 630000019 | Medicaid | AL | |
| 0130574 | Other | NCPDP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Julia Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689784084 PECOS PAC ID: 9335213917 Enrollment ID: I20080730000518 |
| Provider Name | Carmen Delarosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942253281 PECOS PAC ID: 1658436407 Enrollment ID: I20140812001580 |
James R. Dixon, Ii D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Medical Park Dr, Atmore, AL 36502 Phone: 251-368-2346 Fax: 251-368-3557 | |
Ach Family Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 E Laurel St, Atmore, AL 36502 Phone: 251-368-8001 Fax: 251-368-8081 | |
Sheldon Harigel Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 Medical Park Dr, Atmore, AL 36502 Phone: 251-368-7974 Fax: 251-368-5973 | |
Atmore Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Medical Park Dr, Atmore, AL 36502 Phone: 251-368-7974 Fax: 251-368-5973 | |
Atmore Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 7th Ave, Atmore, AL 36502 Phone: 251-368-8609 Fax: 251-446-8714 | |
Agape Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 E Laurel St, Atmore, AL 36502 Phone: 251-368-5117 Fax: 251-368-4191 | |
H. David Brannon, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 Medical Park Dr, Atmore, AL 36502 Phone: 251-368-6283 |