Provider Demographics
NPI:1124288436
Name:PALMER PSYCHIATRIC SERVICES,PC
Entity type:Organization
Organization Name:PALMER PSYCHIATRIC SERVICES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CLEMMIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-280-3230
Mailing Address - Street 1:3090 WOODLEY RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-3100
Mailing Address - Country:US
Mailing Address - Phone:334-280-3230
Mailing Address - Fax:334-280-3272
Practice Address - Street 1:3090 WOODLEY RD
Practice Address - Street 2:SUITE A
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-3100
Practice Address - Country:US
Practice Address - Phone:334-280-3230
Practice Address - Fax:334-280-3272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51099544OtherBLUE CROSS BLUE SHIELD FEDERAL PROGRAM
AL274116OtherVALUE OPTIONS
AL51077444OtherBLUE CROSS BLUE SHIELD OF ALABAMA
AL529803110Medicaid
AL260043194OtherRAILROAD MEDICARE
AL0005521738OtherAETNA
AL1505325OtherUNITED HEALTHCARE
AL51077444OtherBLUE CROSS BLUE SHIELD OF ALABAMA
AL000077444Medicare PIN