| Chattahoochee Valley Family | |
|
1810 Stadium Drive Ste 240 Phenix City AL 36867 | |
| (334) 291-8303 | |
| (334) 291-8325 |
| Full Name | Chattahoochee Valley Family |
|---|---|
| Speciality | Family Medicine |
| Location | 1810 Stadium Drive Ste 240, Phenix City, Alabama |
| Authorized Official Name and Position | Gary A Dillard (SENIOR PARTNER) |
| Authorized Official Contact | 3342918322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chattahoochee Valley Family 1810 Stadium Drive Ste 240 Phenix City AL 36867 Ph: (334) 291-8303 | Chattahoochee Valley Family 1810 Stadium Drive Ste 240 Phenix City AL 36867 Ph: (334) 291-8303 |
| NPI Number | 1760598643 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 07/02/2010 |
| Medicare PECOS PAC ID | 0244257087 |
|---|---|
| Medicare Enrollment ID | O20051031000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760598643 | NPI | - | NPPES |
| 52669717-001 | Other | GA | BCBS GA |
| 51512167 | Other | AL | BCBS AL |
| 009907915 | Medicaid | AL | |
| 009907905 | Medicaid | AL | |
| 52051956-003 | Other | GA | BCBS GA |
| 51512168 | Other | AL | BCBS AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dennis K Harden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982715538 PECOS PAC ID: 3678766482 Enrollment ID: I20101025000429 |
James F Zumstein Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Stadium Drive, Suite 230, Phenix City, AL 36867 Phone: 334-664-0219 Fax: 334-664-0224 | |
B.l. Carden, Md,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Stadium Dr, Suite 220, Phenix City, AL 36867 Phone: 334-664-0210 | |
Chimed Rehab Ficpc, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 S Railroad St Ste D, Phenix City, AL 36867 Phone: 334-298-7700 | |
Jpl Family Medicine, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Stadium Dr, Suite 210, Phenix City, AL 36867 Phone: 334-291-5255 Fax: 877-395-0710 | |
Richard A. Valentine Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 21st Ct, Phenix City, AL 36867 Phone: 334-297-4883 Fax: 334-297-7937 | |
William R. Jordan, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 7th Ave Ste B, Phenix City, AL 36867 Phone: 334-297-7790 Fax: 334-297-7127 | |
Columbus Ambulatory Healthcare Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Stadium Dr Ste 240, Phenix City, AL 36867 Phone: 334-291-8303 Fax: 334-291-8325 |