| Andalusia Medical Center, Llc | |
|
1800 Us Hwy 84 West Opp AL 36467-3520 | |
| (334) 493-4357 | |
| (334) 222-3825 |
| Full Name | Andalusia Medical Center, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1800 Us Hwy 84 West, Opp, Alabama |
| Authorized Official Name and Position | Kevin Ray Diel (M.D./OWNER) |
| Authorized Official Contact | 3344934357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andalusia Medical Center, Llc 1800 Us Hwy 84 West Opp AL 36467-3520 Ph: (334) 493-4357 | Andalusia Medical Center, Llc 1800 Us Hwy 84 West Opp AL 36467-3520 Ph: (334) 493-4357 |
| NPI Number | 1831479781 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 12/29/2014 |
| Medicare PECOS PAC ID | 0042481269 |
|---|---|
| Medicare Enrollment ID | O20131223000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831479781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Cheryl A Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679761571 PECOS PAC ID: 9335219963 Enrollment ID: I20080609000206 |
| Provider Name | Richard Allen Roller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487610564 PECOS PAC ID: 0042467441 Enrollment ID: I20120820000741 |
Kenneth J Crowe Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 N Main St, Suite A, Opp, AL 36467 Phone: 334-493-2530 Fax: 334-493-3973 | |
Blissful Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Paulk Ave Ste A, Opp, AL 36467 Phone: 334-493-0311 Fax: 334-493-0355 | |
Mizell Stat Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 N Main St Ste 2, Opp, AL 36467 Phone: 334-493-5704 Fax: 334-493-9664 | |
Mizell Memorial Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 802 N Main St, Opp, AL 36467 Phone: 334-493-3240 Fax: 334-493-9535 | |
Goode Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Paulk Ave, Suite B, Opp, AL 36467 Phone: 334-493-0233 Fax: 334-493-0274 | |
Opp Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 Brantley St, Opp, AL 36467 Phone: 334-493-4472 Fax: 334-493-9849 |