| Center For Digestive Health | |
|
7738 Madson Boulevard Huntsville AL 35806 | |
| (256) 430-4427 | |
| (256) 430-4335 |
| Full Name | Center For Digestive Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 7738 Madson Boulevard, Huntsville, Alabama |
| Authorized Official Name and Position | Michael P Dohrenwend (PRESIDENT) |
| Authorized Official Contact | 2564304427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Digestive Health 420 Lowell Drive Se Suite 103 Huntsville AL 35801 Ph: (256) 535-5940 | Center For Digestive Health 7738 Madson Boulevard Huntsville AL 35806 Ph: (256) 430-4427 |
| NPI Number | 1396803680 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 12/14/2009 |
| Medicare PECOS PAC ID | 2163473240 |
|---|---|
| Medicare Enrollment ID | O20050207000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396803680 | NPI | - | NPPES |
| 51525690 | Other | AL | BLUE CROSS BLUE SHIELD |
| 051525690 | Medicaid | AL | |
| K225 | Other | MEDICARE GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 16209 (Alabama) | Primary |
| Provider Name | Michael Dohrenwend |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922089598 PECOS PAC ID: 1850295528 Enrollment ID: I20031124000574 |
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