Primary Care Select Llc | |
100 Perry Hill Rd Montgomery AL 36109-3630 | |
(334) 273-9002 | |
Not Available |
Full Name | Primary Care Select Llc |
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Speciality | Clinic/Center |
Location | 100 Perry Hill Rd, Montgomery, Alabama |
Authorized Official Name and Position | Christopher Schmidt (PRESIDENT/CEO) |
Authorized Official Contact | 3345465980 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Select Llc 100 Perry Hill Rd Montgomery AL 36109-3630 Ph: () - | Primary Care Select Llc 100 Perry Hill Rd Montgomery AL 36109-3630 Ph: (334) 273-9002 |
NPI Number | 1083375414 |
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Provider Enumeration Date | 01/07/2022 |
Last Update Date | 01/07/2022 |
Medicare PECOS PAC ID | 1153716170 |
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Medicare Enrollment ID | O20220309002312 |
Identifier | Type | State | Issuer |
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1083375414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Anne Ward |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952858938 PECOS PAC ID: 3870878440 Enrollment ID: I20170322000413 |
Provider Name | Robin Scott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245695667 PECOS PAC ID: 1153594676 Enrollment ID: I20170926002811 |
Provider Name | Kelsey T Langdale |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639776081 PECOS PAC ID: 1759794365 Enrollment ID: I20201228001747 |
Provider Name | Jodie Forbus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548832041 PECOS PAC ID: 5193128684 Enrollment ID: I20210721001506 |
Provider Name | Amy Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851069702 PECOS PAC ID: 4082006481 Enrollment ID: I20220114001705 |
Provider Name | Erin Nicole Rosier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790318160 PECOS PAC ID: 6204207129 Enrollment ID: I20230131003157 |
Provider Name | Hilary Looney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558075861 PECOS PAC ID: 2466827571 Enrollment ID: I20230403001611 |
Provider Name | Lynette L Moxey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417340936 PECOS PAC ID: 8527386796 Enrollment ID: I20230703000987 |
Provider Name | Kristen Michelle Mccormack |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982348355 PECOS PAC ID: 5496108953 Enrollment ID: I20240131003363 |
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