| Moundville Medical Associates | |
|
40870 Al Highway 69 Moundville AL 35474-4366 | |
| (205) 371-4444 | |
| Not Available |
| Full Name | Moundville Medical Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 40870 Al Highway 69, Moundville, Alabama |
| Authorized Official Name and Position | Shay F Whaley (CEO) |
| Authorized Official Contact | 3346243024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moundville Medical Associates 40870 Al Highway 69 Moundville AL 35474-4366 Ph: (205) 371-4444 | Moundville Medical Associates 40870 Al Highway 69 Moundville AL 35474-4366 Ph: (205) 371-4444 |
| NPI Number | 1376901686 |
|---|---|
| Provider Enumeration Date | 02/01/2016 |
| Last Update Date | 02/01/2016 |
| Medicare PECOS PAC ID | 3375528169 |
|---|---|
| Medicare Enrollment ID | O20160414001964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376901686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Steven Galvez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457422016 PECOS PAC ID: 6507751187 Enrollment ID: I20040220001099 |
| Provider Name | Mohammed Salehuddin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942394986 PECOS PAC ID: 0648242792 Enrollment ID: I20040809001381 |
| Provider Name | Angela K Smelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902857154 PECOS PAC ID: 6608958988 Enrollment ID: I20080124000686 |
| Provider Name | Deborah Carlisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497993950 PECOS PAC ID: 5294038493 Enrollment ID: I20160121002053 |
| Provider Name | Megan S Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679939334 PECOS PAC ID: 8729387931 Enrollment ID: I20160421002182 |
Dr Larry O Skelton Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16063 Hwy 69 South, Moundville, AL 35474 Phone: 205-371-2267 | |
Moundville Primary Care Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16063 Highway 69 S, Moundville, AL 35474 Phone: 205-371-2267 Fax: 205-371-2901 |