| Lakeland Family Practice | |
|
42030 Highway 195 Haleyville AL 35565 | |
| (205) 485-7227 | |
| (205) 485-7229 |
| Full Name | Lakeland Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 42030 Highway 195, Haleyville, Alabama |
| Authorized Official Name and Position | Ashoke 'bappa' Mukherji (JAVA MEDICAL GROUP CEO) |
| Authorized Official Contact | 6133088800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Family Practice 42024 Hwy 195 Po Box 780 Haleyville AL 35565 Ph: (205) 485-7108 | Lakeland Family Practice 42030 Highway 195 Haleyville AL 35565 Ph: (205) 485-7227 |
| NPI Number | 1982162962 |
|---|---|
| Provider Enumeration Date | 03/08/2019 |
| Last Update Date | 08/19/2021 |
| Medicare PECOS PAC ID | 8224354618 |
|---|---|
| Medicare Enrollment ID | O20190605003093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982162962 | NPI | - | NPPES |
| 168737 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Haleyville Medical Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42320 Hwy 195, Haleyville, AL 35565 Phone: 205-486-8899 Fax: 205-486-8908 | |
Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42030 Highway 195, Suite D, Haleyville, AL 35565 Phone: 615-372-8500 | |
Bankhead Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42030 Highway 195 Ste A, Haleyville, AL 35565 Phone: 205-485-7219 Fax: 205-485-7135 | |
Lakeland Community Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42030 Highway 195 Ste E, Haleyville, AL 35565 Phone: 205-485-7188 | |
Boyde J. Harrison, Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 904 26th St, Haleyville, AL 35565 Phone: 205-486-5234 | |
Amy Traylor Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Garden Ln, Haleyville, AL 35565 Phone: 256-749-1739 | |
Lakeland Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42030 Highway 195, Suite D, Haleyville, AL 35565 Phone: 205-485-7243 |