| Piedmont Family Practice Center Pc | |
|
25 Roundtree Dr Piedmont AL 36272-5893 | |
| (256) 447-9045 | |
| (256) 447-9040 |
| Full Name | Piedmont Family Practice Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 25 Roundtree Dr, Piedmont, Alabama |
| Authorized Official Name and Position | Russell Dean Ulrich (PRESIDENT) |
| Authorized Official Contact | 2564479045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Family Practice Center Pc Po Box 450 Piedmont AL 36272-0450 Ph: (256) 447-9045 | Piedmont Family Practice Center Pc 25 Roundtree Dr Piedmont AL 36272-5893 Ph: (256) 447-9045 |
| NPI Number | 1700943602 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 01/28/2021 |
| Medicare PECOS PAC ID | 1153490487 |
|---|---|
| Medicare Enrollment ID | O20080513000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700943602 | NPI | - | NPPES |
| 528602460 | Medicaid | AL |
| Provider Name | Russell D Ulrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407850126 PECOS PAC ID: 8224107552 Enrollment ID: I20080513000396 |
| Provider Name | Nolan D Ulrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659452209 PECOS PAC ID: 0941379283 Enrollment ID: I20080513000407 |
Atrium Health Floyd Cherokee Medical Center Rural Health Clinic Piedmo Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32 Roundtree Dr, Piedmont, AL 36272 Phone: 256-447-4889 |