| Hueytown Medical Center, P.c. | |
|
2076 Lakewood Dr Vestavia AL 35216-1932 | |
| (205) 706-5010 | |
| Not Available |
| Full Name | Hueytown Medical Center, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2076 Lakewood Dr, Vestavia, Alabama |
| Authorized Official Name and Position | David Roy Barthold (OWNER) |
| Authorized Official Contact | 2057065010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hueytown Medical Center, P.c. 2257 Taylor Rd Suite 200 Montgomery AL 36117-7790 Ph: (334) 270-9914 | Hueytown Medical Center, P.c. 2076 Lakewood Dr Vestavia AL 35216-1932 Ph: (205) 706-5010 |
| NPI Number | 1639192537 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 02/27/2008 |
| Medicare PECOS PAC ID | 0446333108 |
|---|---|
| Medicare Enrollment ID | O20080219000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639192537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David R Barthold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790708691 PECOS PAC ID: 9032172622 Enrollment ID: I20041104000956 |
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