| Premier Family Care Blountsville, Llc | |
|
68278 Main St Blountsville AL 35031-3370 | |
| (256) 586-2324 | |
| (256) 586-2321 |
| Full Name | Premier Family Care Blountsville, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 68278 Main St, Blountsville, Alabama |
| Authorized Official Name and Position | Beverly Harper (OFFICE MANAGER) |
| Authorized Official Contact | 2565862324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Care Blountsville, Llc 68278 Main St Blountsville AL 35031-3370 Ph: (256) 586-2324 | Premier Family Care Blountsville, Llc 68278 Main St Blountsville AL 35031-3370 Ph: (256) 586-2324 |
| NPI Number | 1932711132 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Medicare PECOS PAC ID | 8224458310 |
|---|---|
| Medicare Enrollment ID | O20201012000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932711132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Melanie B Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679542096 PECOS PAC ID: 1052361391 Enrollment ID: I20050125000662 |
| Provider Name | Jess H Youngblood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467676676 PECOS PAC ID: 4688767650 Enrollment ID: I20070906000796 |
| Provider Name | Jennifer T Tootle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477079952 PECOS PAC ID: 2264790450 Enrollment ID: I20171215002193 |
| Provider Name | Alaina Brooke Shockley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942830716 PECOS PAC ID: 8123435849 Enrollment ID: I20210325000517 |
Premier Family Care Blountsville, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 68278 Main St, Blountsville, AL 35031 Phone: 256-586-2324 Fax: 256-586-0024 | |
David L Case Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 69070 Main Street, Blountsville, AL 35031 Phone: 205-875-0411 | |
Blountsville Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 68278 Main St, Blountsville, AL 35031 Phone: 205-429-4151 Fax: 205-729-4604 | |
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