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EAST ALABAMA HEART AND VASCULAR LLC NPI 1104193069


NPI Information

NPI: 1104193069
Provider Name: EAST ALABAMA HEART AND VASCULAR, LLC

Doing Business As: PINNACLE CARDIOVASCULAR ASSOCIATES

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D0954951

Address:
2601 VILLAGE PROFESSIONAL DRIVE
OPELIKA, AL
ZIP 36801
Phone: (334) 528-5400
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EAST ALABAMA HEART AND VASCULAR, LLC is a specialist in Opelika, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EAST ALABAMA HEART AND VASCULAR, LLC NPI is 1104193069. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pinnacle Cardiovascular Associates.

The provider's business location address is:

2601 VILLAGE PROFESSIONAL DRIVE
OPELIKA, AL
ZIP 36801-784
Phone: (334) 528-5400

The provider's authorized official is Samuel A Price .
The authorized official title is Cfo and has the following contact phone number (334) 528-1310.

The CLIA number assigned to this NPI record is 01D0954951 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2011 and was last updated on 10/19/2020.


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
1174400000XSpecialistYes

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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