| Rainsville Family Practice Llc | |
|
421 Medical Center Dr Sw Fort Payne AL 35968-3421 | |
| (256) 845-1401 | |
| (256) 845-1402 |
| Full Name | Rainsville Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 421 Medical Center Dr Sw, Fort Payne, Alabama |
| Authorized Official Name and Position | Thomas Leon Horton (OWNER) |
| Authorized Official Contact | 2568451401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainsville Family Practice Llc 421 Medical Center Dr Sw Fort Payne AL 35968-3421 Ph: (256) 845-1401 | Rainsville Family Practice Llc 421 Medical Center Dr Sw Fort Payne AL 35968-3421 Ph: (256) 845-1401 |
| NPI Number | 1164679676 |
|---|---|
| Provider Enumeration Date | 08/26/2008 |
| Last Update Date | 01/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164679676 | NPI | - | NPPES |
| 4221491 | Other | TN | BLUE CROSS BLUE SHIELD OF TENNESSEE |
| 51107803 | Other | AL | BCBS OF AL |
| P00664321 | Other | RR MEDICARE | |
| 142769 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13953 (Alabama) | Primary |
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