| Urgent Care Northwest Pc | |
|
2708 Highway 78 E Jasper AL 35501-3430 | |
| (205) 387-2253 | |
| (205) 387-2269 |
| Full Name | Urgent Care Northwest Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2708 Highway 78 E, Jasper, Alabama |
| Authorized Official Name and Position | Dean Robert Naden (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 2053872253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Care Northwest Pc 2708 Highway 78 E Jasper AL 35501-3430 Ph: (205) 387-2253 | Urgent Care Northwest Pc 2708 Highway 78 E Jasper AL 35501-3430 Ph: (205) 387-2253 |
| NPI Number | 1548456494 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 07/05/2022 |
| Medicare PECOS PAC ID | 2062595598 |
|---|---|
| Medicare Enrollment ID | O20080207000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548456494 | NPI | - | NPPES |
| 186249 | Medicaid | AL | |
| DG9096 | Other | AL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Thomas L Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710914841 PECOS PAC ID: 1052201886 Enrollment ID: I20040317000098 |
| Provider Name | Perry L Lovely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679588255 PECOS PAC ID: 0749189124 Enrollment ID: I20040625000409 |
| Provider Name | Christopher E Mcgee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235145871 PECOS PAC ID: 6002892593 Enrollment ID: I20040625000494 |
| Provider Name | Dean R Naden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538100417 PECOS PAC ID: 1355304494 Enrollment ID: I20041111000503 |
| Provider Name | Sonya L Praytor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174574768 PECOS PAC ID: 1052335833 Enrollment ID: I20060119000458 |
| Provider Name | Richard J Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720477995 PECOS PAC ID: 5193035129 Enrollment ID: I20151103003263 |
| Provider Name | Angela Alston Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518344886 PECOS PAC ID: 3678878451 Enrollment ID: I20210412000503 |
| Provider Name | Angela Kuykendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104242395 PECOS PAC ID: 8527363209 Enrollment ID: I20210412001489 |
| Provider Name | Miali Praytor Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710445838 PECOS PAC ID: 3274942917 Enrollment ID: I20210510000228 |
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