| Family Practice Center Of Huntsville Pc | |
|
401 Lowell Dr Se Suite 22 Huntsville AL 35801-3748 | |
| (256) 539-6900 | |
| (256) 539-6997 |
| Full Name | Family Practice Center Of Huntsville Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 Lowell Dr Se, Huntsville, Alabama |
| Authorized Official Name and Position | Carolyn Taylor-morns (CEO) |
| Authorized Official Contact | 2565396900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Center Of Huntsville Pc 401 Lowell Dr Se Suite 22 Huntsville AL 35801-3748 Ph: (256) 539-6900 | Family Practice Center Of Huntsville Pc 401 Lowell Dr Se Suite 22 Huntsville AL 35801-3748 Ph: (256) 539-6900 |
| NPI Number | 1700837010 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 07/21/2015 |
| Medicare PECOS PAC ID | 0840364311 |
|---|---|
| Medicare Enrollment ID | O20080731000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700837010 | NPI | - | NPPES |
| 000022751 | Other | AL | MEDICARE PTAN |
| 529403070 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 14537 (Alabama) | Primary |
| Provider Name | Carolyn Taylor Morns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336291327 PECOS PAC ID: 6204900772 Enrollment ID: I20080731000508 |
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