Organization
HANCEVILLE PRIMARY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLIE BARNETT (OFFICE MANAGER)
(256) 887-1571
Entity
Organization
Contact information
Practice address
1009 MAIN ST NW, HANCEVILLE, AL 35077-7949
(256) 887-1751
Mailing address
1009 MAIN ST NW, HANCEVILLE, AL 35077-7949
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209906
—
AL
01
—
512-01510
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
10/13/2017
Last updated
04/25/2018
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