| Cleburne Medical Clinic, Inc. | |
|
40 Giles St Heflin AL 36264-1738 | |
| (256) 463-7454 | |
| (256) 463-7725 |
| Full Name | Cleburne Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 Giles St, Heflin, Alabama |
| Authorized Official Name and Position | Igor Bidikov (PRESIDENT AND OWNER) |
| Authorized Official Contact | 2564637454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleburne Medical Clinic, Inc. 40 Giles St Heflin AL 36264-1738 Ph: (256) 463-7454 | Cleburne Medical Clinic, Inc. 40 Giles St Heflin AL 36264-1738 Ph: (256) 463-7454 |
| NPI Number | 1104891241 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 02/06/2008 |
| Medicare PECOS PAC ID | 1052363108 |
|---|---|
| Medicare Enrollment ID | O20050216000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104891241 | NPI | - | NPPES |
| P00108638 | Other | AL | RAILROAD MEDICARE PROV ID |
| DB4844 | Other | AL | RAILROAD GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Muzamil E Babiker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609897503 PECOS PAC ID: 3274500996 Enrollment ID: I20040913001033 |
| Provider Name | Raul R Magadia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326015231 PECOS PAC ID: 0547240954 Enrollment ID: I20050216000951 |
| Provider Name | Louis Divalentin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982625869 PECOS PAC ID: 8820170186 Enrollment ID: I20100817001563 |
| Provider Name | Almena L Free |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144244070 PECOS PAC ID: 9739261090 Enrollment ID: I20100818000722 |
| Provider Name | Igor Bidikov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649247545 PECOS PAC ID: 6002868171 Enrollment ID: I20101014000759 |
Tanner Primary Care Of Heflin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Tompkins St, Heflin, AL 36264 Phone: 770-812-6570 Fax: 770-812-6575 | |
Quality Of Life Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 64 Giles St, Heflin, AL 36264 Phone: 256-463-2021 | |
The Health Care Authority Of The Town Of Wedowee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8427 Highway 431, Heflin, AL 36264 Phone: 256-253-2031 Fax: 256-253-2058 | |
Cheaha Area Regional Emergency Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1219 Almon St, Suite C, Heflin, AL 36264 Phone: 256-963-9441 | |
Lloyds Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 938 Ross St, Heflin, AL 36264 Phone: 256-463-2601 Fax: 256-463-2613 |