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DEKALB URGENT CARE AND WELLNESS CLINIC LLC NPI 1073150306


NPI Information

NPI: 1073150306
Provider Name: DEKALB URGENT CARE AND WELLNESS CLINIC, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D2187641

Address:
157 MARSHALL ROAD
RAINSVILLE, AL
ZIP 35986
Phone: (256) 638-9355
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DEKALB URGENT CARE AND WELLNESS CLINIC, LLC is a family medicine in Rainsville, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DEKALB URGENT CARE AND WELLNESS CLINIC, LLC NPI is 1073150306. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

157 MARSHALL ROAD
RAINSVILLE, AL
ZIP 35986
Phone: (256) 638-9355

The provider's authorized official is Ashley Thomas .
The authorized official title is Owner/np and has the following contact phone number (256) 638-9355.

The CLIA number assigned to this NPI record is 01D2187641 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2019 and was last updated on 12/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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