| Boaz And Albertville Family Care, Llc | |
|
3520 Us Highway 431 Ste 100 Albertville AL 35950-0082 | |
| (256) 849-0500 | |
| (256) 573-1021 |
| Full Name | Boaz And Albertville Family Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3520 Us Highway 431 Ste 100, Albertville, Alabama |
| Authorized Official Name and Position | Messalina Jordan (OWNER) |
| Authorized Official Contact | 2054516711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boaz And Albertville Family Care, Llc Po Box 22 Boaz AL 35957-0022 Ph: (256) 849-0500 | Boaz And Albertville Family Care, Llc 3520 Us Highway 431 Ste 100 Albertville AL 35950-0082 Ph: (256) 849-0500 |
| NPI Number | 1245827203 |
|---|---|
| Provider Enumeration Date | 12/24/2020 |
| Last Update Date | 12/24/2020 |
| Medicare PECOS PAC ID | 7113329343 |
|---|---|
| Medicare Enrollment ID | O20210712001106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245827203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Messalina C Jordan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114218039 PECOS PAC ID: 2860647237 Enrollment ID: I20130311000148 |
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William Alexander Nixon Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11491 Us Highway 431, Albertville, AL 35950 Phone: 256-505-6826 Fax: 256-582-1100 | |
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