| Scottsboro Family Physicians | |
|
1302 South Broad Street Scottsboro AL 35768-2514 | |
| (256) 218-4080 | |
| Not Available |
| Full Name | Scottsboro Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 1302 South Broad Street, Scottsboro, Alabama |
| Authorized Official Name and Position | Jennifer C White (MD/SECRETARY) |
| Authorized Official Contact | 2562184080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scottsboro Family Physicians 1302 South Broad Street Scottsboro AL 35768-2514 Ph: (256) 218-4080 | Scottsboro Family Physicians 1302 South Broad Street Scottsboro AL 35768-2514 Ph: (256) 218-4080 |
| NPI Number | 1639362239 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 11/03/2020 |
| Medicare PECOS PAC ID | 4789773508 |
|---|---|
| Medicare Enrollment ID | O20071203000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639362239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer C White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689608143 PECOS PAC ID: 4587668959 Enrollment ID: I20060828000332 |
| Provider Name | Andrew O White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295769768 PECOS PAC ID: 9335144740 Enrollment ID: I20060918000491 |
| Provider Name | Haley H Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336683085 PECOS PAC ID: 2567744139 Enrollment ID: I20170117001795 |
| Provider Name | Sommer D Porch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306201611 PECOS PAC ID: 2961825922 Enrollment ID: I20200714000313 |
| Provider Name | Charlee Rene Rusk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750968707 PECOS PAC ID: 8820494388 Enrollment ID: I20210908002418 |
Scottsboro Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 Harley St, Scottsboro Medical Clinic, Scottsboro, AL 35768 Phone: 256-574-6157 Fax: 256-259-0560 | |
Highlands Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 507 Harley St, Scottsboro, AL 35768 Phone: 256-218-3856 Fax: 256-218-3536 | |
Hh Health System - Jackson Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 S Broad St Ste A, Scottsboro, AL 35768 Phone: 256-218-3230 Fax: 256-218-3249 | |
Valley Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 331 Parks Ave, Scottsboro, AL 35768 Phone: 256-451-1250 Fax: 256-451-1270 | |
Premier Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 503 Burlington Street, Scottsboro, AL 35768 Phone: 256-259-1886 | |
Northeast Alabama Health Services Inc- Skyline Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21680 Al Highway 79, Scottsboro, AL 35768 Phone: 256-587-3050 Fax: 256-587-5243 | |
Larry T. Bolton, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Parks Ave, Scottsboro, AL 35768 Phone: 256-574-3623 Fax: 256-574-6223 |