West Point Family Medical Practice Llc | |
40131 County Road 1141 Vinemont AL 35179 | |
(256) 531-4987 | |
Not Available |
Full Name | West Point Family Medical Practice Llc |
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Speciality | Family Medicine |
Location | 40131 County Road 1141, Vinemont, Alabama |
Authorized Official Name and Position | Patricia D Wilhite (OWNER) |
Authorized Official Contact | 2565314987 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Point Family Medical Practice Llc 380 County Road 1200 Vinemont AL 35179-4601 Ph: (256) 531-4987 | West Point Family Medical Practice Llc 40131 County Road 1141 Vinemont AL 35179 Ph: (256) 531-4987 |
NPI Number | 1427568336 |
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Provider Enumeration Date | 10/05/2017 |
Last Update Date | 10/05/2017 |
Medicare PECOS PAC ID | 1951665173 |
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Medicare Enrollment ID | O20180515002751 |
Identifier | Type | State | Issuer |
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1427568336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Richard A Bucco |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518945724 PECOS PAC ID: 7315902210 Enrollment ID: I20060301000353 |
Provider Name | Patricia D Wilhite |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639329576 PECOS PAC ID: 2365501954 Enrollment ID: I20081218000563 |