Wetumpka Family Rural Health Clinic | |
815 Jackson Trace Rd Wetumpka AL 36092-1504 | |
(334) 567-2882 | |
(334) 567-3361 |
Full Name | Wetumpka Family Rural Health Clinic |
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Speciality | Clinic/Center |
Location | 815 Jackson Trace Rd, Wetumpka, Alabama |
Authorized Official Name and Position | Michael D Bruce (CEO) |
Authorized Official Contact | 3345674311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wetumpka Family Rural Health Clinic Po Box 130 Wetumpka AL 36092-0003 Ph: (334) 567-2882 | Wetumpka Family Rural Health Clinic 815 Jackson Trace Rd Wetumpka AL 36092-1504 Ph: (334) 567-2882 |
NPI Number | 1316246812 |
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Provider Enumeration Date | 03/23/2011 |
Last Update Date | 04/05/2022 |
Medicare PECOS PAC ID | 8426075508 |
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Medicare Enrollment ID | O20111025000353 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316246812 | NPI | - | NPPES |
540003434 | Medicaid | AL | |
013434 | Other | AL | MEDICARE |
01D0891738 | Other | AL | CLIA |
102G701614 | Other | AL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ronaldo V Dejesus, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74186 Tallassee Hwy, Wetumpka, AL 36092 Phone: 334-567-0346 Fax: 334-567-0855 | |
Mracek Family & Internal Medicine Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 807 Jackson Trace Rd, Wetumpka, AL 36092 Phone: 334-567-3150 Fax: 334-567-3152 | |
River Region Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Cambridge Ct, Wetumpka, AL 36093 Phone: 334-567-3309 Fax: 334-567-3361 | |
River Region Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Cambridge Ct, Wetumpka, AL 36093 Phone: 334-567-3309 Fax: 334-567-3361 | |
Ivy Creek Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Jackson Trace Rd, Wetumpka, AL 36092 Phone: 334-358-3777 | |
Holtville Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8502 Holtville Rd, Wetumpka, AL 36092 Phone: 334-399-9176 |