| North Huntsville Family Care, P.c. | |
|
2616 Jordan Ln Nw Huntsville AL 35816-1014 | |
| (256) 851-8433 | |
| (256) 851-6080 |
| Full Name | North Huntsville Family Care, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2616 Jordan Ln Nw, Huntsville, Alabama |
| Authorized Official Name and Position | Michael Keith Johnson (PRESIDENT/ NHFCPC) |
| Authorized Official Contact | 2568518433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Huntsville Family Care, P.c. 2616 Jordan Ln Nw Huntsville AL 35816-1014 Ph: (256) 851-8433 | North Huntsville Family Care, P.c. 2616 Jordan Ln Nw Huntsville AL 35816-1014 Ph: (256) 851-8433 |
| NPI Number | 1417145996 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 01/04/2023 |
| Medicare PECOS PAC ID | 7113829631 |
|---|---|
| Medicare Enrollment ID | O20040124000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417145996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20179 (Alabama) | Primary |
| Provider Name | Michael K Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174574172 PECOS PAC ID: 9335041755 Enrollment ID: I20040124000310 |
| Provider Name | Heather D Bryce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982729588 PECOS PAC ID: 7315046778 Enrollment ID: I20070626000269 |
| Provider Name | Glenda Beth Lee-scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891360640 PECOS PAC ID: 5496129884 Enrollment ID: I20230327001432 |
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