ST LUKE INTEGRATIVE MEDICAL CENTER INC NPI 1184282840

NPI Information

NPI: 1184282840
Provider Name: ST LUKE INTEGRATIVE MEDICAL CENTER INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 01D2266697

Address:
415E CHURCH ST NW STE 4
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 801-4536
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ST LUKE INTEGRATIVE MEDICAL CENTER INC is a multi-specialty clinic center in Huntsville, AL. ST LUKE INTEGRATIVE MEDICAL CENTER INC NPI is 1184282840. The provider is registered as an organization entity type.

The provider's business location address is:

415E CHURCH ST NW STE 4
HUNTSVILLE, AL
ZIP 35801-577
Phone: (256) 801-4536

The provider's authorized official is Yvonne C Ortega .
The authorized official title is Owner and has the following contact phone number (256) 801-4536.

The CLIA number assigned to this NPI record is 01D2266697 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2019 and was last updated on 7/23/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 5/5/2024

NPI Synchronization or Removal

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