| Sherrill Holdings, Inc | |
|
1202 Gault Ave N Fort Payne AL 35967-3040 | |
| (256) 997-3434 | |
| Not Available |
| Full Name | Sherrill Holdings, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1202 Gault Ave N, Fort Payne, Alabama |
| Authorized Official Name and Position | Lisa Westfall (ADMINISTRATOR) |
| Authorized Official Contact | 2569977466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherrill Holdings, Inc Po Box 680043 Fort Payne AL 35968-1601 Ph: (256) 997-3434 | Sherrill Holdings, Inc 1202 Gault Ave N Fort Payne AL 35967-3040 Ph: (256) 997-3434 |
| NPI Number | 1811460678 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 01/04/2019 |
| Medicare PECOS PAC ID | 6204175003 |
|---|---|
| Medicare Enrollment ID | O20190221002287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811460678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Deann Cobble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427475045 PECOS PAC ID: 6800019829 Enrollment ID: I20140520002506 |
| Provider Name | Monique M. Sherrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629019724 PECOS PAC ID: 8325143332 Enrollment ID: I20190315000075 |
| Provider Name | Paula Cole Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912470824 PECOS PAC ID: 5496097339 Enrollment ID: I20190425001109 |
| Provider Name | Anna Petty Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265008312 PECOS PAC ID: 8628476371 Enrollment ID: I20211011000118 |
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