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ATTENTUS MOULTON LLC NPI 1760930200


NPI Information

NPI: 1760930200
Provider Name: ATTENTUS MOULTON, LLC

Doing Business As: MOULTON PRIMARY CARE CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 01D2116647

Address:
40 MEDICAL CIR
MOULTON, AL
ZIP 35650
Phone: (256) 974-0606
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ATTENTUS MOULTON, LLC is a rural health clinic center in Moulton, AL. ATTENTUS MOULTON, LLC NPI is 1760930200. The provider is registered as an organization entity type.
The provider Is Doing Business As Moulton Primary Care Clinic.

The provider's business location address is:

40 MEDICAL CIR
MOULTON, AL
ZIP 35650-256
Phone: (256) 974-0606
Fax: (256) 522-2227

The provider's authorized official is Christy Louallen .
The authorized official title is Credentialing/billing Supervisor and has the following contact phone number (256) 974-2207.

The CLIA number assigned to this NPI record is 01D2116647 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2016 and was last updated on 7/25/2019.


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
1261QR1300XClinic/CenterRural HealthYes

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: 5/5/2024

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