| Inceptivia Health & Wellness Llc | |
|
420 4th St Nw Attalla AL 35954-2227 | |
| (256) 558-5480 | |
| (256) 376-8102 |
| Full Name | Inceptivia Health & Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 420 4th St Nw, Attalla, Alabama |
| Authorized Official Name and Position | Lisa Osborne (MEMBER) |
| Authorized Official Contact | 2565585480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inceptivia Health & Wellness Llc 1126 Mcville Rd Boaz AL 35957-6029 Ph: (256) 558-5480 | Inceptivia Health & Wellness Llc 420 4th St Nw Attalla AL 35954-2227 Ph: (256) 558-5480 |
| NPI Number | 1750094744 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 3971969908 |
|---|---|
| Medicare Enrollment ID | O20230517003288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750094744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Lisa L Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285065078 PECOS PAC ID: 6002031952 Enrollment ID: I20140708002504 |
North Alabama Family Practice, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 3rd St Nw, Attalla, AL 35954 Phone: 256-538-7273 Fax: 256-538-2514 |