| Med 360 Urgent Care Northport Llc | |
|
3250 Mcfarland Blvd Northport AL 35476-3135 | |
| (205) 487-4535 | |
| (205) 487-8875 |
| Full Name | Med 360 Urgent Care Northport Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3250 Mcfarland Blvd, Northport, Alabama |
| Authorized Official Name and Position | Farouk A Raquib (OWNER/ MD) |
| Authorized Official Contact | 2053263875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med 360 Urgent Care Northport Llc 3250 Mcfarland Blvd Ste A Northport AL 35476-3135 Ph: (205) 632-3875 | Med 360 Urgent Care Northport Llc 3250 Mcfarland Blvd Northport AL 35476-3135 Ph: (205) 487-4535 |
| NPI Number | 1073238747 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/08/2024 |
| Medicare PECOS PAC ID | 5193180297 |
|---|---|
| Medicare Enrollment ID | O20230425000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073238747 | NPI | - | NPPES |
| 322964 | Medicaid | AL | |
| 512-92816 | Other | AL | BCBS |
| 1477511194 | Other | AL | NPI |
| 315872 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Farouk A Raquib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477511194 PECOS PAC ID: 9638150840 Enrollment ID: I20040525000842 |
| Provider Name | Jennifer C Josey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669541843 PECOS PAC ID: 1355396714 Enrollment ID: I20050317001080 |
| Provider Name | Kimberly Sprouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922549773 PECOS PAC ID: 1850649435 Enrollment ID: I20180731000441 |
Allegra Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 Highway 69 N, Northport, AL 35473 Phone: 205-556-5634 Fax: 205-556-5634 | |
Mitt Lary Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4815 Rose Blvd, Northport, AL 35475 Phone: 205-722-0650 Fax: 205-345-5178 | |
Allegra Wellness Of Tuscaloosa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 Highway 69 N, Northport, AL 35473 Phone: 205-556-5634 | |
Jeffery G Parker M.d. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2810 Lurleen Wallace Boulevard, Northport, AL 35476 Phone: 205-333-7670 Fax: 205-333-3161 | |
Capstone Health Services Foundation Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6205 Jemison Ln, Northport, AL 35476 Phone: 205-348-6122 Fax: 205-348-6112 | |
Alabama Bariatric And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 Phone: 205-333-1500 Fax: 205-330-1505 |