| Primary Care Services-blount, LLC | |
|
101 Lemley Dr Ste A Oneonta AL 35121-2100 | |
| (205) 625-3561 | |
| (205) 274-9638 |
| Full Name | Primary Care Services-blount, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Lemley Dr Ste A, Oneonta, Alabama |
| Authorized Official Name and Position | Zakir N Khan (OWNER) |
| Authorized Official Contact | 2056253561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Services-blount, LLC Po Box 389 Clay AL 35048-0389 Ph: (205) 625-3561 | Primary Care Services-blount, LLC 101 Lemley Dr Ste A Oneonta AL 35121-2100 Ph: (205) 625-3561 |
| NPI Number | 1225108723 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 11/05/2018 |
| Medicare PECOS PAC ID | 2860494945 |
|---|---|
| Medicare Enrollment ID | O20070201000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225108723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | 22909 (Alabama) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Zakir N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437118577 PECOS PAC ID: 6103861505 Enrollment ID: I20050627000456 |
| Provider Name | Mina S Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215095559 PECOS PAC ID: 3577565654 Enrollment ID: I20070202000234 |
| Provider Name | Ashley Lane Nolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194286476 PECOS PAC ID: 7618334103 Enrollment ID: I20230526000258 |
St. Vincent's Blount Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Oneonta, AL 35121 Phone: 205-274-3001 Fax: 205-274-3002 |
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St. Vincent's Blount Hospitalist Services, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Attn: Administration / Hospitalist Services, Oneonta, AL 35121 Phone: 205-274-3010 Fax: 205-274-3002 |
Eastern Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Oneonta, AL 35121 Phone: 205-274-3344 |
Midway Medical Clinic LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27550 State Highway 75 Ste 105, Oneonta, AL 35121 Phone: 256-451-1250 |
St Vincents Blount Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Suite 200, Oneonta, AL 35121 Phone: 205-838-5286 |