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CRESTWOOD HEALTHCARE LP NPI 1457370470


NPI Information

NPI: 1457370470
Provider Name: CRESTWOOD HEALTHCARE LP

Doing Business As: CRESTWOOD MEDICAL CENTER

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 01D2272779

Address:
1 HOSPITAL DR SW
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 882-3100
Get Directions

CRESTWOOD HEALTHCARE LP is an addiction medicine family medicine in Huntsville, AL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. CRESTWOOD HEALTHCARE LP NPI is 1457370470. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Crestwood Medical Center.

The provider's business location address is:

1 HOSPITAL DR SW
HUNTSVILLE, AL
ZIP 35801-455
Phone: (256) 882-3100
Fax: (256) 880-4100

The provider's authorized official is Debbie T Brewer .
The authorized official title is Director and has the following contact phone number (877) 892-9813.

The CLIA number assigned to this NPI record is 01D2272779 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 12/3/2010.


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 MedicineNo
2207R00000XInternal MedicineNo
3207L00000XAnesthesiologyNo
4367H00000XAnesthesiologist AssistantNo
5367500000XNurse Anesthetist, Certified RegisteredNo
6207QA0401XFamily MedicineAddiction MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K933MEDICARE PIN

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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