Preferred Pediatric Healthcare | |
5850 Us Highway 431 Ste 11 Albertville AL 35950-2049 | |
(256) 878-1053 | |
(256) 878-9969 |
Full Name | Preferred Pediatric Healthcare |
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Speciality | Clinic/Center |
Location | 5850 Us Highway 431 Ste 11, Albertville, Alabama |
Authorized Official Name and Position | Shonnie L Hubbard (OWNER) |
Authorized Official Contact | 2568781053 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Preferred Pediatric Healthcare Po Box 516 Albertville AL 35950-0008 Ph: (256) 878-1053 | Preferred Pediatric Healthcare 5850 Us Highway 431 Ste 11 Albertville AL 35950-2049 Ph: (256) 878-1053 |
NPI Number | 1386966422 |
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Provider Enumeration Date | 02/16/2010 |
Last Update Date | 05/08/2020 |
Medicare PECOS PAC ID | 3870628340 |
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Medicare Enrollment ID | O20100323000442 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386966422 | NPI | - | NPPES |
121332 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 1-059298 (Alabama) | Primary |
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