| Hoover Medicine, Inc. | |
|
774 Shades Mountain Plz Hoover AL 35226-1513 | |
| (205) 979-3381 | |
| Not Available |
| Full Name | Hoover Medicine, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 774 Shades Mountain Plz, Hoover, Alabama |
| Authorized Official Name and Position | Regina Hudson (ADMINISTRATOR) |
| Authorized Official Contact | 2059793381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoover Medicine, Inc. 774 Shades Mountain Plz Hoover AL 35226-1513 Ph: (205) 979-3381 | Hoover Medicine, Inc. 774 Shades Mountain Plz Hoover AL 35226-1513 Ph: (205) 979-3381 |
| NPI Number | 1174738975 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 9638244601 |
|---|---|
| Medicare Enrollment ID | O20080826000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174738975 | NPI | - | NPPES |
| 529928030 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ramona Leigh Roach-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689627994 PECOS PAC ID: 4385711456 Enrollment ID: I20080916000462 |
| Provider Name | Candace Blount Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518445139 PECOS PAC ID: 7719230630 Enrollment ID: I20181023002228 |
| Provider Name | Shelly R Weisenfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063444644 PECOS PAC ID: 5294705489 Enrollment ID: I20181113003433 |
| Provider Name | Natasha Denise Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972198372 PECOS PAC ID: 4789080680 Enrollment ID: I20210901000265 |
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Spectacular & Eternity Group, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 337 Linda Ave, Hoover, AL 35226 Phone: 205-422-5039 | |
Thcp Bham Al 1 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3829 Lorna Rd, Suite 312, Hoover, AL 35244 Phone: 949-525-1069 | |
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