| Rosemore Primary Care & Rehab Services Llc | |
|
3800 Ridgeway Dr Birmingham AL 35209-5506 | |
| (205) 868-2000 | |
| Not Available |
| Full Name | Rosemore Primary Care & Rehab Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3800 Ridgeway Dr, Birmingham, Alabama |
| Authorized Official Name and Position | Michael A Rosemore (PRESIDENT) |
| Authorized Official Contact | 2055141122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosemore Primary Care & Rehab Services Llc Po Box 2391 Birmingham AL 35201-2391 Ph: (205) 999-1016 | Rosemore Primary Care & Rehab Services Llc 3800 Ridgeway Dr Birmingham AL 35209-5506 Ph: (205) 868-2000 |
| NPI Number | 1639561244 |
|---|---|
| Provider Enumeration Date | 02/19/2015 |
| Last Update Date | 05/22/2020 |
| Medicare PECOS PAC ID | 4688994064 |
|---|---|
| Medicare Enrollment ID | O20150527000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639561244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO159 (Alabama) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| Provider Name | Michael A Rosemore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104849843 PECOS PAC ID: 3870529662 Enrollment ID: I20060123000159 |
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