| Pfcc, LLC | |
|
32128 Broken Branch Cir Spanish Fort AL 36527-6000 | |
| (251) 626-6757 | |
| (251) 626-6758 |
| Full Name | Pfcc, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 32128 Broken Branch Cir, Spanish Fort, Alabama |
| Authorized Official Name and Position | Chad Lee Lambeth (OWNER) |
| Authorized Official Contact | 2516266757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pfcc, LLC 32128 Broken Branch Cir Spanish Fort AL 36527-6000 Ph: (251) 626-6757 | Pfcc, LLC 32128 Broken Branch Cir Spanish Fort AL 36527-6000 Ph: (251) 626-6757 |
| NPI Number | 1649960873 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Medicare PECOS PAC ID | 5698122745 |
|---|---|
| Medicare Enrollment ID | O20231110000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649960873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| Provider Name | Edna Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417068792 PECOS PAC ID: 3476523366 Enrollment ID: I20040728000955 |
| Provider Name | Kelly Lambeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215232343 PECOS PAC ID: 6608023122 Enrollment ID: I20120905000577 |
| Provider Name | Mitzi M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891004834 PECOS PAC ID: 7911219308 Enrollment ID: I20161216000231 |
| Provider Name | Kathryn M Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841741402 PECOS PAC ID: 7517249832 Enrollment ID: I20170123000934 |
| Provider Name | Jennifer Kathleen Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609002500 PECOS PAC ID: 4385808476 Enrollment ID: I20170724003941 |
| Provider Name | Ashleigh L Boyington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851931521 PECOS PAC ID: 3173958857 Enrollment ID: I20200306002256 |
| Provider Name | Danielle Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558946293 PECOS PAC ID: 8426447574 Enrollment ID: I20231121003032 |
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