| Chase Medical Clinic Llc | |
|
5107 Moores Mill Rd Huntsville AL 35811-1007 | |
| (256) 851-7190 | |
| Not Available |
| Full Name | Chase Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5107 Moores Mill Rd, Huntsville, Alabama |
| Authorized Official Name and Position | Mayuriben Patel (MEMBER) |
| Authorized Official Contact | 2568517190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chase Medical Clinic Llc 5107 Moores Mill Rd Huntsville AL 35811-1007 Ph: (256) 851-7190 | Chase Medical Clinic Llc 5107 Moores Mill Rd Huntsville AL 35811-1007 Ph: (256) 851-7190 |
| NPI Number | 1811593197 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 12/10/2020 |
| Medicare PECOS PAC ID | 6305259250 |
|---|---|
| Medicare Enrollment ID | O20210113002613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811593197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Archana Rastogi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427047885 PECOS PAC ID: 0143256800 Enrollment ID: I20050713001019 |
| Provider Name | Contance E Chedester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306481692 PECOS PAC ID: 8224442983 Enrollment ID: I20210121000508 |
| Provider Name | Rachel Elizabeth Vanhooser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194320606 PECOS PAC ID: 9436561248 Enrollment ID: I20210422002429 |
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