| Physicians Care Of Grove Hill Llc | |
|
127 Clark St Ste C&d Grove Hill AL 36451-3050 | |
| (334) 636-5311 | |
| (334) 636-2280 |
| Full Name | Physicians Care Of Grove Hill Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 127 Clark St Ste C&d, Grove Hill, Alabama |
| Authorized Official Name and Position | Huey R Kidd (PHYSICIAN) |
| Authorized Official Contact | 3346365311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Care Of Grove Hill Llc 127 Clark St Ste C&d Grove Hill AL 36451-3050 Ph: (334) 636-5311 | Physicians Care Of Grove Hill Llc 127 Clark St Ste C&d Grove Hill AL 36451-3050 Ph: (334) 636-5311 |
| NPI Number | 1568915106 |
|---|---|
| Provider Enumeration Date | 08/01/2016 |
| Last Update Date | 01/08/2019 |
| Medicare PECOS PAC ID | 0941589741 |
|---|---|
| Medicare Enrollment ID | O20161118001304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568915106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Provider Name | Kelly L Paparella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700290079 PECOS PAC ID: 5193944338 Enrollment ID: I20140919001384 |
| Provider Name | Donna Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871943324 PECOS PAC ID: 1658659826 Enrollment ID: I20161024001813 |
Doctor's Office, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 297a S Jackson St, Grove Hill, AL 36451 Phone: 251-275-2286 Fax: 251-275-3382 | |
Grove Hill Healthcare #2 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 297 S Jackson St, Grove Hill, AL 36451 Phone: 251-275-2286 | |
Grove Hill Healthcare Fac Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 295b S Jackson St, Grove Hill, AL 36451 Phone: 251-275-3173 | |
Aka Physicians Care Of Grove Hill Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Clark St, Grove Hill, AL 36451 Phone: 251-275-1268 |