| John C Simmons M.d. | |
|
100 E Cahaba Ave Linden AL 36748-1204 | |
| (334) 295-0170 | |
| (334) 295-2275 |
| Full Name | John C Simmons M.d. |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 E Cahaba Ave, Linden, Alabama |
| Authorized Official Name and Position | John C Simmons (PRESIDENT) |
| Authorized Official Contact | 3342950170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John C Simmons M.d. Po Box 480070 Linden AL 36748-0070 Ph: (334) 295-0170 | John C Simmons M.d. 100 E Cahaba Ave Linden AL 36748-1204 Ph: (334) 295-0170 |
| NPI Number | 1851614721 |
|---|---|
| Provider Enumeration Date | 03/08/2010 |
| Last Update Date | 09/28/2015 |
| Medicare PECOS PAC ID | 0446380422 |
|---|---|
| Medicare Enrollment ID | O20100618000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851614721 | NPI | - | NPPES |
| 511-03472 | Other | AL | BLUE CROSS BLUE SHIELD AL |
| 117645 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 16795 (Alabama) | Primary |
| Provider Name | John C Simmons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104832724 PECOS PAC ID: 3870582489 Enrollment ID: I20040510000448 |
| Provider Name | Kelly L Paparella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700290079 PECOS PAC ID: 5193944338 Enrollment ID: I20140919001384 |
Tombigbee Healthcare Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1007 S Main St, Linden, AL 36748 Phone: 334-289-4000 Fax: 334-287-2594 |