| Lakeshore Pediatrics Pc | |
|
12521 Al Highway 157 Ste B Moulton AL 35650-1937 | |
| (256) 974-6300 | |
| Not Available |
| Full Name | Lakeshore Pediatrics Pc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 12521 Al Highway 157 Ste B, Moulton, Alabama |
| Authorized Official Name and Position | Agustin Rivas (OWNER) |
| Authorized Official Contact | 2563864151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Pediatrics Pc 1120 S Jackson Hwy Ste 304 Sheffield AL 35660-5773 Ph: (256) 386-4151 | Lakeshore Pediatrics Pc 12521 Al Highway 157 Ste B Moulton AL 35650-1937 Ph: (256) 974-6300 |
| NPI Number | 1801238787 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 07/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801238787 | NPI | - | NPPES |
| 1588002455 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 17108 (Alabama) | Primary |
Donald E Beach Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 633 Lawrence St, Moulton, AL 35650 Phone: 256-974-6646 Fax: 256-974-8654 | |
Lawrence Rural Health Clinic, Moulton/lawrence Urgent Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10939 Al Highway 157, Moulton, AL 35650 Phone: 256-974-8440 Fax: 256-974-6993 | |
Complete Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 94 Medical Cir, Moulton, AL 35650 Phone: 256-974-9216 Fax: 256-974-8211 | |
Intrepid Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Medical Cir, Moulton, AL 35650 Phone: 256-974-0606 Fax: 256-974-4530 | |
Family Care First, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11809 Al Highway 157, Ste E, Moulton, AL 35650 Phone: 256-905-0340 Fax: 256-905-0346 | |
Complete Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 94 Medical Cir, Moulton, AL 35650 Phone: 256-974-9216 Fax: 256-974-8211 | |
Moulton Primary Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 40 Medical Cir, Moulton, AL 35650 Phone: 256-974-0606 Fax: 256-522-2227 |