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TRUSSVILLE FAMILY HEALTHCARE PC NPI 1740477389


NPI Information

NPI: 1740477389
Provider Name: TRUSSVILLE FAMILY HEALTHCARE PC
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 01D2084296

Address:
159 MAIN ST
TRUSSVILLE, AL
ZIP 35173
Phone: (205) 655-2110
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TRUSSVILLE FAMILY HEALTHCARE PC is a legal medicine in Trussville, AL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. TRUSSVILLE FAMILY HEALTHCARE PC NPI is 1740477389. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

159 MAIN ST
TRUSSVILLE, AL
ZIP 35173-435
Phone: (205) 655-2110
Fax: (205) 655-7020

The provider's authorized official is Randolph Lee Lamberson .
The authorized official title is Ceo and has the following contact phone number (205) 655-2110.

The CLIA number assigned to this NPI record is 01D2084296 - other - city jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 9/27/2007.


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
1173000000XLegal Medicine15951ALABAMAYes

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
1E86622MEDICARE UPINALABAMA
251001851OTHERALABAMABC OF ALABAMA

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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