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SAFE HARBOR OF THE SHOALS INC NPI 1831743483


NPI Information

NPI: 1831743483
Provider Name: SAFE HARBOR OF THE SHOALS, INC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 01D2177092

Address:
1404 E AVALON AVE STE C
TUSCUMBIA, AL
ZIP 35674
Phone: (256) 383-4473
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SAFE HARBOR OF THE SHOALS, INC is an addiction medicine family medicine in Tuscumbia, AL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. SAFE HARBOR OF THE SHOALS, INC NPI is 1831743483. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1404 E AVALON AVE STE C
TUSCUMBIA, AL
ZIP 35674-771
Phone: (256) 383-4473

The provider's authorized official is Aaron W Karr .
The authorized official title is President and has the following contact phone number (256) 383-4473.

The CLIA number assigned to this NPI record is 01D2177092 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2019 and was last updated on 3/23/2021.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3104100000XSocial WorkerNo
41041C0700XSocial WorkerClinicalNo
5207QA0401XFamily MedicineAddiction 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.