| Valley Sunrise Llc | |
|
4258 Highway 231 Ste 5 Laceys Spring AL 35754-6444 | |
| (256) 498-6500 | |
| Not Available |
| Full Name | Valley Sunrise Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4258 Highway 231 Ste 5, Laceys Spring, Alabama |
| Authorized Official Name and Position | Hemil S Parikh (MANAGING PARTNER) |
| Authorized Official Contact | 7323126009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Sunrise Llc 4258 Highway 231 Ste 5 Laceys Spring AL 35754-6444 Ph: (256) 498-6500 | Valley Sunrise Llc 4258 Highway 231 Ste 5 Laceys Spring AL 35754-6444 Ph: (256) 498-6500 |
| NPI Number | 1215699160 |
|---|---|
| Provider Enumeration Date | 10/07/2021 |
| Last Update Date | 10/07/2021 |
| Medicare PECOS PAC ID | 8628466794 |
|---|---|
| Medicare Enrollment ID | O20211021001601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215699160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Hemil S Parikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861888596 PECOS PAC ID: 2860787827 Enrollment ID: I20181009001891 |
| Provider Name | Tammy L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235703240 PECOS PAC ID: 6305234485 Enrollment ID: I20211021002199 |
| Provider Name | Breanna Wootson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902598246 PECOS PAC ID: 1658731104 Enrollment ID: I20230717001187 |
Fairview Family Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 Apple Grove Rd, Laceys Spring, AL 35754 Phone: 256-640-5761 |