Southview Medical Clinic Llc | |
307 Main St Sw Hanceville AL 35077-5476 | |
(256) 352-4767 | |
(256) 352-4797 |
Full Name | Southview Medical Clinic Llc |
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Speciality | Clinic/Center |
Location | 307 Main St Sw, Hanceville, Alabama |
Authorized Official Name and Position | Muhammad Ejaz Ata (OWNER) |
Authorized Official Contact | 2564511250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southview Medical Clinic Llc 307 Main St Sw Hanceville AL 35077-5476 Ph: (256) 352-4767 | Southview Medical Clinic Llc 307 Main St Sw Hanceville AL 35077-5476 Ph: (256) 352-4767 |
NPI Number | 1033554357 |
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Provider Enumeration Date | 04/30/2013 |
Last Update Date | 07/16/2021 |
Medicare PECOS PAC ID | 7315188281 |
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Medicare Enrollment ID | O20130719000228 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033554357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Provider Name | Cassie Williams Luke |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982622577 PECOS PAC ID: 3577459304 Enrollment ID: I20040226001060 |
Provider Name | Eileen M Gallagher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093702326 PECOS PAC ID: 8123058666 Enrollment ID: I20050815001027 |
Provider Name | Cesar E Munoz |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255432027 PECOS PAC ID: 7719067271 Enrollment ID: I20080109000592 |
Provider Name | Desiree A Washburn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104078468 PECOS PAC ID: 6709945348 Enrollment ID: I20081111000516 |
Provider Name | John E Willis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275831703 PECOS PAC ID: 2961686654 Enrollment ID: I20110404000709 |
Provider Name | Berenice C Serpas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154676302 PECOS PAC ID: 9830330885 Enrollment ID: I20130802000387 |
Provider Name | Ashley Campbell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851792816 PECOS PAC ID: 9537484985 Enrollment ID: I20150206001479 |
Provider Name | Torri Selvage |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760856926 PECOS PAC ID: 8628379468 Enrollment ID: I20151221000137 |
Provider Name | Sean K Riggs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689123051 PECOS PAC ID: 1951680578 Enrollment ID: I20161122000661 |
Provider Name | Ashley C Graves |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902324338 PECOS PAC ID: 2163766593 Enrollment ID: I20181211003483 |
Provider Name | Hansel Noffsinger |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801802863 PECOS PAC ID: 6305900077 Enrollment ID: I20191018002595 |
Provider Name | Rhonda Lee Coker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255893889 PECOS PAC ID: 8527490317 Enrollment ID: I20191115002914 |
Provider Name | Zachary Blake Gentry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669021093 PECOS PAC ID: 4981010402 Enrollment ID: I20210309000719 |
Provider Name | Muhammad Omair Ahsan Ata |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942763362 PECOS PAC ID: 2668728932 Enrollment ID: I20210428000653 |
Provider Name | Marty Schmidt |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1639130248 PECOS PAC ID: 9234315847 Enrollment ID: I20211109002569 |
Provider Name | Carl Bronitsky |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1487618658 PECOS PAC ID: 0749221539 Enrollment ID: I20240123000379 |
Hanceville Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Main St Sw, Hanceville, AL 35077 Phone: 256-352-0188 Fax: 256-352-0187 | |
Dodge City Medical Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 561 Al Highway 69 S, Suite B, Hanceville, AL 35077 Phone: 256-287-2345 | |
Abc Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24 County Road 262, Hanceville, AL 35077 Phone: 256-781-0718 | |
Hanceville Primary Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 Main St Nw, Hanceville, AL 35077 Phone: 256-887-1751 | |
Md Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Main St Sw, Hanceville, AL 35077 Phone: 256-887-1300 |