| Premier Health Center Llc | |
|
2165 Hwy 78 Suite 100 Dora AL 35062 | |
| (205) 648-4567 | |
| (205) 648-4551 |
| Full Name | Premier Health Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2165 Hwy 78, Dora, Alabama |
| Authorized Official Name and Position | Scott A Dixon (OWNER) |
| Authorized Official Contact | 2056484567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Center Llc 2165 Hwy 78 Suite 100 Dora AL 35062 Ph: (205) 648-4567 | Premier Health Center Llc 2165 Hwy 78 Suite 100 Dora AL 35062 Ph: (205) 648-4567 |
| NPI Number | 1023226446 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 3779684139 |
|---|---|
| Medicare Enrollment ID | O20070730000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023226446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Scott A Dixon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508805672 PECOS PAC ID: 9537171897 Enrollment ID: I20060705000082 |
| Provider Name | Charles Minor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700405503 PECOS PAC ID: 2860822533 Enrollment ID: I20220923002023 |
Gateway Health Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2165 Highway 78, 103, Dora, AL 35062 Phone: 205-648-4567 |