| Magnolia Medical House Calls, Pllc | |
|
850 Tuscaloosa St Ste A Greensboro AL 36744-1562 | |
| (601) 832-0662 | |
| Not Available |
| Full Name | Magnolia Medical House Calls, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 Tuscaloosa St Ste A, Greensboro, Alabama |
| Authorized Official Name and Position | Lauren Elizabeth Goddard (OWNER/PRESIDENT) |
| Authorized Official Contact | 3342180160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Medical House Calls, Pllc 850 Tuscaloosa St Ste A Greensboro AL 36744-1562 Ph: (601) 832-0662 | Magnolia Medical House Calls, Pllc 850 Tuscaloosa St Ste A Greensboro AL 36744-1562 Ph: (601) 832-0662 |
| NPI Number | 1326870361 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 10/06/2024 |
| Medicare PECOS PAC ID | 3678003134 |
|---|---|
| Medicare Enrollment ID | O20250213000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326870361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Lauren Elizabeth Goddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295194447 PECOS PAC ID: 6002112612 Enrollment ID: I20160308001939 |
Whatley Health Services Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Hall St, Greensboro, AL 36744 Phone: 334-624-7270 Fax: 334-624-0872 | |
Hale County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 508 Greene St, Greensboro, AL 36744 Phone: 334-624-4442 Fax: 334-624-1405 |