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HEALTHCARE AUTHORITY OF ELBA AL INC. NPI 1831249283


NPI Information

NPI: 1831249283
Provider Name: HEALTHCARE AUTHORITY OF ELBA, AL, INC.

Doing Business As: DR. GLENN ROBERTS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
978 DRAYTON AVE
ELBA, AL
ZIP 36323
Phone: (334) 897-2597
Get Directions

HEALTHCARE AUTHORITY OF ELBA, AL, INC. is a family medicine in Elba, 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. HEALTHCARE AUTHORITY OF ELBA, AL, INC. NPI is 1831249283. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Glenn Roberts.

The provider's business location address is:

978 DRAYTON AVE
ELBA, AL
ZIP 36323-404
Phone: (334) 897-2597
Fax: (334) 897-6662

The provider's authorized official is Ellen C. Briley .
The authorized official title is Chief Executive Officer and has the following contact phone number (334) 897-2257.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 8/22/2020.


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
1207Q00000XFamily MedicineDO314ALABAMAYes

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
1510-98808OTHERALABAMABCBS OF AL

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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