| Raines Family Medicine | |
|
190 Independent Dr Ste A Rainbow City AL 35906-3286 | |
| (256) 442-1834 | |
| (877) 991-4819 |
| Full Name | Raines Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 190 Independent Dr Ste A, Rainbow City, Alabama |
| Authorized Official Name and Position | John Mattox Raines (OWNER) |
| Authorized Official Contact | 2564421834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raines Family Medicine 190 Independent Dr Ste A Rainbow City AL 35906-3286 Ph: (256) 442-1834 | Raines Family Medicine 190 Independent Dr Ste A Rainbow City AL 35906-3286 Ph: (256) 442-1834 |
| NPI Number | 1881073294 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 08/31/2021 |
| Medicare PECOS PAC ID | 1951611417 |
|---|---|
| Medicare Enrollment ID | O20151112002145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881073294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DO639 (Alabama) | Primary |
| Provider Name | John M Raines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679587737 PECOS PAC ID: 4284522475 Enrollment ID: I20040309000717 |
| Provider Name | Ginger Leann Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316359276 PECOS PAC ID: 3072738590 Enrollment ID: I20140625001595 |
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