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MONROEVILLE EMERGENCY GROUP LLC NPI 1629090626


NPI Information

NPI: 1629090626
Provider Name: MONROEVILLE EMERGENCY GROUP LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 01D2174335

Address:
2016 S ALABAMA AVE
MONROEVILLE, AL
ZIP 36460
Phone: (800) 893-9698
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MONROEVILLE EMERGENCY GROUP LLC is an emergency medicine in Monroeville, AL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MONROEVILLE EMERGENCY GROUP LLC NPI is 1629090626. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2016 S ALABAMA AVE
MONROEVILLE, AL
ZIP 36460-044
Phone: (800) 893-9698

The provider's authorized official is Lisha Falk .
The authorized official title is Vp Of Contracting and has the following contact phone number (800) 893-9698.

The CLIA number assigned to this NPI record is 01D2174335 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/25/2006 and was last updated on 1/11/2016.


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
1363L00000XNurse PractitionerNo
2363AM0700XPhysician AssistantMedicalNo
3207P00000XEmergency 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
1529925660MEDICAIDALABAMA
2K589MEDICARE PINALABAMA

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.