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EASTSIDE FAMILY CARE LLC NPI 1689091548


NPI Information

NPI: 1689091548
Provider Name: EASTSIDE FAMILY CARE LLC

Other Name: EASTSIDE URGENT CARE LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D2076401

Address:
14 MITYLENE PARK LN
MONTGOMERY, AL
ZIP 36117
Phone: (334) 524-3266
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EASTSIDE FAMILY CARE LLC is a family medicine in Montgomery, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EASTSIDE FAMILY CARE LLC NPI is 1689091548. The provider is registered as an organization entity type.
The provider Other Name Is Eastside Urgent Care Llc.

The provider's business location address is:

14 MITYLENE PARK LN
MONTGOMERY, AL
ZIP 36117
Phone: (334) 524-3266

The provider's authorized official is Sai S Namburu .
The authorized official title is Partner and has the following contact phone number (334) 524-3266.

The CLIA number assigned to this NPI record is 01D2076401 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/27/2014 and was last updated on 8/8/2018.


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
1261QU0200XClinic/CenterUrgent CareNo
2207Q00000XFamily MedicineYes

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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