| Primary Care Services At Magnolia Trace | |
|
One Clubhouse Avenue Huntsville AL 35802 | |
| (256) 261-1600 | |
| (256) 883-1842 |
| Full Name | Primary Care Services At Magnolia Trace |
|---|---|
| Speciality | Internal Medicine |
| Location | One Clubhouse Avenue, Huntsville, Alabama |
| Authorized Official Name and Position | Susan Ahern (SVP, CFO) |
| Authorized Official Contact | 2156618330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Services At Magnolia Trace 420 Delaware Dr Fort Washington PA 19034-2711 Ph: (215) 661-8330 | Primary Care Services At Magnolia Trace One Clubhouse Avenue Huntsville AL 35802 Ph: (256) 261-1600 |
| NPI Number | 1922554641 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 5092032284 |
|---|---|
| Medicare Enrollment ID | O20170920000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922554641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tonia Boddie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871996736 PECOS PAC ID: 9537249453 Enrollment ID: I20150714000615 |
| Provider Name | Shiniqua Mona Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548932577 PECOS PAC ID: 6406294008 Enrollment ID: I20240402001840 |
Bptcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Longwood Dr, Sw, Huntsville, AL 35801 Phone: 256-534-5946 Fax: 256-534-3041 | |
Inspirational Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Market St Ste 100, Huntsville, AL 35808 Phone: 256-210-4925 | |
Gleneagles Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 Gleneagles Dr Sw, Huntsville, AL 35801 Phone: 256-881-5880 Fax: 256-883-3280 | |
Magnolia Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4245 Balmoral Dr Sw Ste 102, Huntsville, AL 35801 Phone: 256-203-6676 Fax: 833-979-0980 | |
Five Points Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Pratt Ave Ne, Huntsville, AL 35801 Phone: 256-714-3363 | |
Davis Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7850 Memorial Pkwy Sw, Huntsville, AL 35802 Phone: 256-882-0132 Fax: 256-882-1461 | |
Crestani Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2745 Bob Wallace Ave Sw, Suite D, Huntsville, AL 35805 Phone: 256-534-1323 Fax: 256-534-1780 |