| Bhg Lxix, Llc | |
|
4040 Independence Dr Nw Huntsville AL 35816-3012 | |
| (256) 721-1940 | |
| (256) 721-1934 |
| Full Name | Bhg Lxix, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4040 Independence Dr Nw, Huntsville, Alabama |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Lxix, Llc 5001 Spring Valley Rd Ste 600e Dallas TX 75244-8217 Ph: (214) 365-6100 | Bhg Lxix, Llc 4040 Independence Dr Nw Huntsville AL 35816-3012 Ph: (256) 721-1940 |
| NPI Number | 1467071928 |
|---|---|
| Provider Enumeration Date | 04/14/2020 |
| Last Update Date | 12/27/2024 |
| Certification Date | 12/27/2024 |
| Medicare PECOS PAC ID | 2264849272 |
|---|---|
| Medicare Enrollment ID | O20210318000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467071928 | NPI | - | NPPES |
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