FAMILY MEDICAL CLINIC LLC NPI 1710116066

NPI Information

NPI: 1710116066
Provider Name: FAMILY MEDICAL CLINIC LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1355 GEORGE WALLACE HWY
RUSSELLVILLE, AL
ZIP 35654
Phone: (256) 331-9700
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FAMILY MEDICAL CLINIC LLC is a family nurse practitioner in Russellville, AL. FAMILY MEDICAL CLINIC LLC NPI is 1710116066. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1355 GEORGE WALLACE HWY
RUSSELLVILLE, AL
ZIP 35654-281
Phone: (256) 331-9700
Fax: (256) 331-2615

The provider's authorized official is Michael Potter .
The authorized official title is Owner and has the following contact phone number (256) 331-9700.

The enumeration date for this NPI number is 7/8/2009 and was last updated on 11/24/2009.

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	363LF0000X	Nurse Practitioner	Family	1-072201	ALABAMA	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: 4/28/2024

NPI Synchronization or Removal

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