Provider Demographics
NPI:1861174880
Name:HARKEMAC, LLC
Entity type:Organization
Organization Name:HARKEMAC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-710-6129
Mailing Address - Street 1:PO BOX 687
Mailing Address - Street 2:
Mailing Address - City:MOUNDVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35474-0687
Mailing Address - Country:US
Mailing Address - Phone:205-371-2267
Mailing Address - Fax:205-371-2901
Practice Address - Street 1:16063 HIGHWAY 69 S
Practice Address - Street 2:
Practice Address - City:MOUNDVILLE
Practice Address - State:AL
Practice Address - Zip Code:35474-6209
Practice Address - Country:US
Practice Address - Phone:205-371-2267
Practice Address - Fax:205-371-2901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty