| Specialized Healthcare Llc | |
|
2345 Moody Pkwy Ste 204 Moody AL 35004-3004 | |
| (205) 640-0001 | |
| (205) 640-1557 |
| Full Name | Specialized Healthcare Llc |
|---|---|
| Speciality | Pain Medicine |
| Location | 2345 Moody Pkwy, Moody, Alabama |
| Authorized Official Name and Position | Reginald M Smith (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2056400001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Healthcare Llc Po Box 175 Moody AL 35004-0175 Ph: (205) 640-0001 | Specialized Healthcare Llc 2345 Moody Pkwy Ste 204 Moody AL 35004-3004 Ph: (205) 640-0001 |
| NPI Number | 1194970525 |
|---|---|
| Provider Enumeration Date | 11/26/2008 |
| Last Update Date | 09/23/2014 |
| Medicare PECOS PAC ID | 9335203231 |
|---|---|
| Medicare Enrollment ID | O20090121000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194970525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 27262 (Alabama) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | PM.326 (Alabama) | Primary |
| Provider Name | Reginald M Smith |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1700877719 PECOS PAC ID: 3678515855 Enrollment ID: I20061128000037 |
Parkway Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2834 Moody Pkwy, Moody, AL 35004 Phone: 205-640-2808 Fax: 205-640-2810 | |
Complete Healthcare Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Moody Parkway, Moody, AL 35004 Phone: 205-640-1100 Fax: 205-640-4189 | |
Unicare Plus, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2228 Village Dr, Moody, AL 35004 Phone: 659-223-4010 Fax: 659-223-4011 | |
Onmark Physical Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2345 Moody Pkwy Ste 206, Moody, AL 35004 Phone: 205-640-4881 Fax: 205-640-4882 |