| Rural Primary Care South, Inc. | |
|
143 White Oak Trl Suite 2 Warrior AL 35180-5736 | |
| (205) 647-1819 | |
| Not Available |
| Full Name | Rural Primary Care South, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 143 White Oak Trl, Warrior, Alabama |
| Authorized Official Name and Position | Michael T Patton (PHYSICIAN) |
| Authorized Official Contact | 2056471819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Primary Care South, Inc. 143 White Oak Trl Suite 2 Warrior AL 35180-5736 Ph: () - | Rural Primary Care South, Inc. 143 White Oak Trl Suite 2 Warrior AL 35180-5736 Ph: (205) 647-1819 |
| NPI Number | 1508277310 |
|---|---|
| Provider Enumeration Date | 05/14/2014 |
| Last Update Date | 05/14/2014 |
| Medicare PECOS PAC ID | 5193945095 |
|---|---|
| Medicare Enrollment ID | O20140926001613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508277310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Michael T Patton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245200633 PECOS PAC ID: 8820002686 Enrollment ID: I20060201000156 |
| Provider Name | Leah V Gann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780930826 PECOS PAC ID: 8325273972 Enrollment ID: I20131106001965 |
| Provider Name | Stacie Ernst Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083162705 PECOS PAC ID: 4981991445 Enrollment ID: I20160927001359 |
| Provider Name | Meagan Carbonie Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669990107 PECOS PAC ID: 7618237272 Enrollment ID: I20180131001093 |
| Provider Name | Megan Lenita Mcclendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639729411 PECOS PAC ID: 9830522424 Enrollment ID: I20191212002351 |
| Provider Name | Amy R Suddeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750143871 PECOS PAC ID: 8729428289 Enrollment ID: I20240501000158 |
Urgent Care South, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 143 White Oak Trl, Warrior, AL 35180 Phone: 205-647-1819 | |
Warrior Medical Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Dana Road, Warrior, AL 35180 Phone: 205-647-6333 Fax: 205-647-8666 | |
Norwood Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 5th St E, Warrior, AL 35180 Phone: 205-647-0526 Fax: 205-647-0527 |