| Ultracare Medical Services Llc | |
|
215 Winton M Blount Loop Montgomery AL 36117-3507 | |
| (334) 239-9480 | |
| Not Available |
| Full Name | Ultracare Medical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 215 Winton M Blount Loop, Montgomery, Alabama |
| Authorized Official Name and Position | Rakiya Adediji (MANAGING MEMBER) |
| Authorized Official Contact | 3342399480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultracare Medical Services Llc 215 Winton M Blount Loop Montgomery AL 36117-3507 Ph: (334) 239-9480 | Ultracare Medical Services Llc 215 Winton M Blount Loop Montgomery AL 36117-3507 Ph: (334) 239-9480 |
| NPI Number | 1508192634 |
|---|---|
| Provider Enumeration Date | 10/23/2009 |
| Last Update Date | 01/12/2010 |
| Medicare PECOS PAC ID | 9537202551 |
|---|---|
| Medicare Enrollment ID | O20100129000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508192634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 16675 (Alabama) | Primary |
| Provider Name | Oluyinka S Adediji |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245226612 PECOS PAC ID: 8224024658 Enrollment ID: I20040421001834 |
| Provider Name | Rakiya Adediji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720599772 PECOS PAC ID: 4981747904 Enrollment ID: I20171204000062 |
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