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HEALTHYKIDS OF GARDENDALE NPI 1245256494


NPI Information

NPI: 1245256494
Provider Name: HEALTHYKIDS OF GARDENDALE
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 01D1032166

Address:
1127 PECAN AVE
SUITE 100
GARDENDALE, AL
ZIP 35071
Phone: (205) 608-2055
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HEALTHYKIDS OF GARDENDALE is a preferred provider organization in Gardendale, AL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. HEALTHYKIDS OF GARDENDALE NPI is 1245256494. The provider is registered as an organization entity type.

The provider's business location address is:

1127 PECAN AVE
SUITE 100
GARDENDALE, AL
ZIP 35071-543
Phone: (205) 608-2055
Fax: (205) 608-2045

The provider's authorized official is Patricia Kay Harris .
The authorized official title is President/owner and has the following contact phone number (205) 608-2055.

The CLIA number assigned to this NPI record is 01D1032166 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 8/22/2020.


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
1305R00000XPreferred Provider Organization00023211ALABAMAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.