Rural Primary Care South, Inc. | |
143 White Oak Trl Suite 2 Warrior AL 35180-5736 | |
(205) 647-1819 | |
Not Available |
Full Name | Rural Primary Care South, Inc. |
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Speciality | Clinic/Center |
Location | 143 White Oak Trl, Warrior, Alabama |
Authorized Official Name and Position | Michael T Patton (PHYSICIAN) |
Authorized Official Contact | 2056471819 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rural Primary Care South, Inc. 143 White Oak Trl Suite 2 Warrior AL 35180-5736 Ph: () - | Rural Primary Care South, Inc. 143 White Oak Trl Suite 2 Warrior AL 35180-5736 Ph: (205) 647-1819 |
NPI Number | 1508277310 |
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Provider Enumeration Date | 05/14/2014 |
Last Update Date | 05/14/2014 |
Medicare PECOS PAC ID | 5193945095 |
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Medicare Enrollment ID | O20140926001613 |
Identifier | Type | State | Issuer |
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1508277310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Michael T Patton |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245200633 PECOS PAC ID: 8820002686 Enrollment ID: I20060201000156 |
Provider Name | Leah V Gann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780930826 PECOS PAC ID: 8325273972 Enrollment ID: I20131106001965 |
Provider Name | Stacie Ernst Cooper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083162705 PECOS PAC ID: 4981991445 Enrollment ID: I20160927001359 |
Provider Name | Meagan Carbonie Horton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669990107 PECOS PAC ID: 7618237272 Enrollment ID: I20180131001093 |
Provider Name | Megan Lenita Mcclendon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639729411 PECOS PAC ID: 9830522424 Enrollment ID: I20191212002351 |
Provider Name | Amy R Suddeth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750143871 PECOS PAC ID: 8729428289 Enrollment ID: I20240501000158 |
Primary & Urgent Care South Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 143 White Oak Trl, Warrior, AL 35180 Phone: 205-647-1819 | |
Warrior Medical Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Dana Road, Warrior, AL 35180 Phone: 205-647-6333 Fax: 205-647-8666 | |
Warrior Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 5th St E, Warrior, AL 35180 Phone: 205-647-0526 Fax: 205-647-0527 |