| Frontier Medical Services | |
|
101 Westover Cir Ste C Madison AL 35758-4910 | |
| (256) 325-3354 | |
| Not Available |
| Full Name | Frontier Medical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Westover Cir Ste C, Madison, Alabama |
| Authorized Official Name and Position | Bernard Gomez (OWNER) |
| Authorized Official Contact | 2567776514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Medical Services 101 Westover Cir Ste C Madison AL 35758-4910 | Frontier Medical Services 101 Westover Cir Ste C Madison AL 35758-4910 Ph: (256) 325-3354 |
| NPI Number | 1417750910 |
|---|---|
| Provider Enumeration Date | 03/31/2025 |
| Last Update Date | 04/11/2025 |
| Certification Date | 04/11/2025 |
| Medicare PECOS PAC ID | 6901313394 |
|---|---|
| Medicare Enrollment ID | O20250730000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417750910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Marilyn Salada Ligon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740481951 PECOS PAC ID: 5294897724 Enrollment ID: I20081217000608 |
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