HANCEVILLE PRIMARY HEALTHCARE, LLC (NPI# 1619488913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619488913 |
| Entity Type | Organization |
| Organization Name | HANCEVILLE PRIMARY HEALTHCARE, LLC |
| Practice Address |
1009 Main St Nw Hanceville AL 35077-7949 |
| Practice Telephone | 2568871751 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2018-04-25 |
| Authorized Official Name | ALLIE BARNETT (OFFICE MANAGER) |
| Authorized Official Telephone | 2568871571 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 209906 | 05 | |
| AL | BLUE CROSS BLUE SHIELD OF ALABAMA | 512-01510 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Hanceville Primary Healthcare, LLC | 1407 Edward Street, Hanceville, AL 35077 |
| Street Address |
1009 MAIN ST NW |
| City | HANCEVILLE |
| State | AL |
| Zip Code | 35077-7949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295245298 | Stephanie Faith Barnett | Nurse Practitioner | 1009 Main St Nw, Hanceville, AL 35077-7949 | 2017-10-04 |
| 1770066185 | Ashley Frey | Family Medicine | 1009 Main St Nw, Hanceville, AL 35077-7949 | 2018-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988846 | Margaret Braden | Pharmacist | 561 Sr-69, Hanceville, AL 35077 | 2020-10-02 |
| 1255675658 | Perry Clifton St. John | Physical Therapy Assistant | 440 County Road 483, Hanceville, AL 35077 | 2012-11-26 |
| 1336329010 | Tlc Solutionsm, Inc. | Prosthetic/Orthotic Supplier | 520 County Road 539, Hanceville, AL 35077 | 2007-11-09 |
| 1346244217 | Hanceville Nursing & Rehab Center Inc. | Skilled Nursing Facility | 420 Main St., N.e., Hanceville, AL 35077 | 2005-06-09 |
| 1932396314 | Peter Wade Dube | Dentist | 508 Bangor Ave Se, Hanceville, AL 35077 | 2007-09-28 |
| 1699190108 | Amber Baty | Physical Therapist | 4500 County Road 35, Hanceville, AL 35077-2232 | 2014-02-20 |
| 1720250988 | John Wesley Purifoy Jr. | Technician/Technologist | 13261 Al Highway 91, Hanceville, AL 35077-2816 | 2008-03-27 |
| 1902142128 | Tashena Stansell | Occupational Therapy Assistant | 685 County Road 219, Hanceville, AL 35077-3323 | 2012-12-15 |
| 1952943292 | Rachel Roberts Oakes | Pharmacist | 561 Alabama Highway 69 South, Hanceville, AL 35077-3403 | 2019-10-08 |
| 1932285301 | Charlotte M Edmondson | Pharmacist | 561 Al Highway 69 S, Hanceville, AL 35077-3403 | 2006-10-28 |
| Find all providers in zip 35077 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316112568 | Cullman Regional Medical Center | Clinic/Center | 307 Main St Sw, Hanceville, AL 35077-5476 | 2008-04-29 |
| 1679907877 | Md Healthcare LLC | Clinic/Center | 307 Main St Sw, Hanceville, AL 35077-5476 | 2013-08-25 |
| 1407976624 | Dodge City Medical Clinic, Inc. | Clinic/Center | 561 Al Highway 69 S, Suite B, Hanceville, AL 35077-3403 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316758 | Modern Health Family Care Practice | Clinic/Center | 13000 Cottonwood Rd, Cottonwood, AL 36320-4280 | 2020-05-01 |
| 1487274650 | Faith Medical Clinic LLC | Clinic/Center | 64 Mccurdy Ave N, Rainsville, AL 35986-4465 | 2020-04-17 |
| 1386283471 | E A Mccleskey, Do, LLC | Clinic/Center | 103 Intercom Dr Ste B, Madison, AL 35758-2641 | 2020-01-06 |
| 1568012755 | Watchman's Health PC | Clinic/Center | 1501 7th St Se Ste A, Decatur, AL 35601-3375 | 2019-09-19 |
| 1184273096 | Spedale Md PC | Clinic/Center | 3113 Wesley Way Ste 1, Dothan, AL 36305-2004 | 2019-09-04 |
| 1124675459 | Mainstreet Family Care LLC | Clinic/Center | 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 | 2019-08-21 |
| 1568016004 | Fenton Chiropractic LLC | Clinic/Center | 301 1st St S, Reform, AL 35481-8013 | 2019-08-01 |
| 1568967081 | Bernice R Swain Do Pllc | Clinic/Center | 2424 Danville Rd Sw Ste L, Decatur, AL 35603-4219 | 2018-03-27 |
| 1578088001 | Coastal Health & Wellness | Clinic/Center | 14 Confederate Dr S, Spanish Fort, AL 36527-3062 | 2017-08-05 |
| 1760918494 | Killen Urgent Care, Inc. | Clinic/Center | 152 J C Mauldin Hwy, Killen, AL 35645-9106 | 2017-05-01 |
| Find all providers with the same taxonomy | ||||
| City | HANCEVILLE |
| Zip Code | 35077 |
Please comment or provide details below to improve the information on HANCEVILLE PRIMARY HEALTHCARE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.