| Alliance Primary Care Llc | |
|
5330 Stadium Trace Pkwy Ste 150 Hoover AL 35244-4528 | |
| (205) 588-1748 | |
| Not Available |
| Full Name | Alliance Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5330 Stadium Trace Pkwy Ste 150, Hoover, Alabama |
| Authorized Official Name and Position | Anisa Ssengoba-ubogu (OWNER/PROVIDER) |
| Authorized Official Contact | 2055881748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Primary Care Llc 2101 Highland Ave S Ste 350 Birmingham AL 35205-4009 Ph: (205) 933-2125 | Alliance Primary Care Llc 5330 Stadium Trace Pkwy Ste 150 Hoover AL 35244-4528 Ph: (205) 588-1748 |
| NPI Number | 1457032500 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 5496109324 |
|---|---|
| Medicare Enrollment ID | O20230927000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457032500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anisa Seana Namirimo Ssengoba-ubogu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407845910 PECOS PAC ID: 7113998451 Enrollment ID: I20131121000357 |
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