| Family Medical Clinic Of Jackson | |
|
227 Hospital Dr Jackson AL 36545-2423 | |
| (251) 246-4446 | |
| Not Available |
| Full Name | Family Medical Clinic Of Jackson |
|---|---|
| Speciality | Family Medicine |
| Location | 227 Hospital Dr, Jackson, Alabama |
| Authorized Official Name and Position | William G Mckenzie (CEO) |
| Authorized Official Contact | 2512469021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Clinic Of Jackson 220 Hospital Dr Jackson AL 36545-2459 Ph: (251) 246-9021 | Family Medical Clinic Of Jackson 227 Hospital Dr Jackson AL 36545-2423 Ph: (251) 246-4446 |
| NPI Number | 1366808404 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/05/2016 |
| Medicare PECOS PAC ID | 6800191107 |
|---|---|
| Medicare Enrollment ID | O20160224002285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366808404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Provider Name | Norman Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770583742 PECOS PAC ID: 2062320294 Enrollment ID: I20090210000558 |
| Provider Name | Sidney Crosby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982604948 PECOS PAC ID: 7517875743 Enrollment ID: I20090217000185 |
| Provider Name | Timothy H Mullinix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851391817 PECOS PAC ID: 1456486034 Enrollment ID: I20100322000382 |
| Provider Name | Steven P Furr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639179609 PECOS PAC ID: 4789592916 Enrollment ID: I20100630000095 |
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Imc-family Medical Of Jackson, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 227 Hospital Dr, Jackson, AL 36545 Phone: 251-246-4446 Fax: 251-246-5111 | |
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