| Specialty Clinical Services Llc | |
|
2104 Al Highway 157 Cullman AL 35058-0656 | |
| (256) 734-3146 | |
| (256) 734-2179 |
| Full Name | Specialty Clinical Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2104 Al Highway 157, Cullman, Alabama |
| Authorized Official Name and Position | Patrick Brown (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2567343146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Clinical Services Llc 2104 Al Highway 157 Cullman AL 35058-0656 Ph: (256) 734-3146 | Specialty Clinical Services Llc 2104 Al Highway 157 Cullman AL 35058-0656 Ph: (256) 734-3146 |
| NPI Number | 1528727179 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 06/24/2022 |
| Medicare PECOS PAC ID | 8921499682 |
|---|---|
| Medicare Enrollment ID | O20220106002809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528727179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20200818000683 |
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