| Rushforth Family Care Llc | |
|
1935 Al Highway 157 Suite C Cullman AL 35058-1862 | |
| (256) 297-3030 | |
| (256) 297-3301 |
| Full Name | Rushforth Family Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1935 Al Highway 157, Cullman, Alabama |
| Authorized Official Name and Position | Tyler James Rushforth (PHYSICIAN OWNER) |
| Authorized Official Contact | 8016609367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rushforth Family Care Llc 2019 Austin Dr Ne Cullman AL 35058-2055 Ph: (801) 660-9367 | Rushforth Family Care Llc 1935 Al Highway 157 Suite C Cullman AL 35058-1862 Ph: (256) 297-3030 |
| NPI Number | 1730966854 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 05/16/2024 |
| Medicare PECOS PAC ID | 3476900648 |
|---|---|
| Medicare Enrollment ID | O20231109000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730966854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tyler James Rushforth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114436219 PECOS PAC ID: 0244668176 Enrollment ID: I20220721002263 |
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