Star Health And Wellness Llc | |
704 Pratt Ave Ne Huntsville AL 35801-3644 | |
(256) 534-1118 | |
Not Available |
Full Name | Star Health And Wellness Llc |
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Speciality | Family Medicine |
Location | 704 Pratt Ave Ne, Huntsville, Alabama |
Authorized Official Name and Position | Trent Mclemore (DIRECTOR OF PHARMACY) |
Authorized Official Contact | 2565667980 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Star Health And Wellness Llc 704 Pratt Ave Ne Huntsville AL 35801-3644 Ph: () - | Star Health And Wellness Llc 704 Pratt Ave Ne Huntsville AL 35801-3644 Ph: (256) 534-1118 |
NPI Number | 1902676141 |
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Provider Enumeration Date | 01/08/2024 |
Last Update Date | 01/08/2024 |
Medicare PECOS PAC ID | 9133572415 |
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Medicare Enrollment ID | O20240202001598 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902676141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Timothy Howard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619964343 PECOS PAC ID: 4880853399 Enrollment ID: I20120301000776 |
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