<unavail> in Montgomery, AL - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Montgomery, Alabama. The current practice location for is 2905 E South Blvd, Montgomery, Alabama. For appointments, you can reach them via phone at (334) 288-0009. The mailing address for is Po Box 70365, Montgomery, Alabama and phone number is (334) 420-5001.

is licensed to practice in Alabama (license number ). The clinic also participates in the medicare program and its NPI number is 1063654341. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (334) 288-0009.

Contact Information


	2905 E South Blvd Montgomery AL 36116-2501
	(334) 288-0009
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	2905 E South Blvd, Montgomery, Alabama
Authorized Official Name and Position	Susie Ann Beal (CFO)
Authorized Official Contact	3344205001
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 70365 Montgomery AL 36107-0365 Ph: (334) 420-5001	2905 E South Blvd Montgomery AL 36116-2501 Ph: (334) 288-0009

NPI Details:

NPI Number	1063654341
Provider Enumeration Date	04/01/2009
Last Update Date	11/29/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	1557324811
Medicare Enrollment ID	O20120530000214

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063654341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(Alabama)	Primary

Reviews and Comments

Clinic/Center in Montgomery, AL

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- Medicare Primary Care in Montgomery, AL