| Niel C Rasmussen Md Pc | |
|
204 Holman Dr Headland AL 36345-2307 | |
| (334) 693-3336 | |
| (334) 693-2553 |
| Full Name | Niel C Rasmussen Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 204 Holman Dr, Headland, Alabama |
| Authorized Official Name and Position | Niel Christian Rasmussen (PRESIDENT) |
| Authorized Official Contact | 3346933336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Niel C Rasmussen Md Pc 204 Holman Dr Headland AL 36345-2307 Ph: (334) 693-3336 | Niel C Rasmussen Md Pc 204 Holman Dr Headland AL 36345-2307 Ph: (334) 693-3336 |
| NPI Number | 1730126129 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0345267589 |
|---|---|
| Medicare Enrollment ID | O20051027000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730126129 | NPI | - | NPPES |
| J071 | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00021221 (Alabama) | Primary |
| Provider Name | Niel C Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174560916 PECOS PAC ID: 6608919022 Enrollment ID: I20100208000520 |
Headland Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17925 Us Hwy 431 South, Headland, AL 36345 Phone: 334-423-2273 |