| Cherokee Family Healthcare, Llc | |
|
819 W Main St Centre AL 35960-1235 | |
| (256) 630-5467 | |
| Not Available |
| Full Name | Cherokee Family Healthcare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 819 W Main St, Centre, Alabama |
| Authorized Official Name and Position | Connie L Geimer (OWNER) |
| Authorized Official Contact | 2566305467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherokee Family Healthcare, Llc Po Box 610 Centre AL 35960-0610 Ph: (256) 630-5467 | Cherokee Family Healthcare, Llc 819 W Main St Centre AL 35960-1235 Ph: (256) 630-5467 |
| NPI Number | 1750008801 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 10/19/2022 |
| Medicare PECOS PAC ID | 6800267444 |
|---|---|
| Medicare Enrollment ID | O20230119000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750008801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | William B Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538184635 PECOS PAC ID: 8820172430 Enrollment ID: I20080220000676 |
| Provider Name | Connie L Geimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659667095 PECOS PAC ID: 4385812619 Enrollment ID: I20120921000357 |
| Provider Name | Piper West Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780223982 PECOS PAC ID: 2062831340 Enrollment ID: I20201006002666 |
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