| Vester Health Center Llc | |
|
140 1st St Se Lafayette AL 36862-2304 | |
| (334) 864-7887 | |
| (334) 864-0460 |
| Full Name | Vester Health Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 140 1st St Se, Lafayette, Alabama |
| Authorized Official Name and Position | Terry Yvonne Vester (CO-OWNER) |
| Authorized Official Contact | 3348647887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vester Health Center Llc 140 1st St Se Lafayette AL 36862-2304 Ph: (334) 864-7887 | Vester Health Center Llc 140 1st St Se Lafayette AL 36862-2304 Ph: (334) 864-7887 |
| NPI Number | 1043371883 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 12/02/2010 |
| Medicare PECOS PAC ID | 9739105289 |
|---|---|
| Medicare Enrollment ID | O20051024000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043371883 | NPI | - | NPPES |
| 529800230 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11415 (Alabama) | Secondary |
| 207R00000X | Internal Medicine | 10617 (Alabama) | Primary |
| Provider Name | Terry Vester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396806121 PECOS PAC ID: 3577750058 Enrollment ID: I20110114000731 |
| Provider Name | Alphonza Vester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447311295 PECOS PAC ID: 8527232081 Enrollment ID: I20111117000690 |
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