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CEDAR STREET PRIMARY CARE INC. NPI 1912486937


NPI Information

NPI: 1912486937
Provider Name: CEDAR STREET PRIMARY CARE INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D2284924

Address:
220 CEDAR ST NW
HARTSELLE, AL
ZIP 35640
Phone: (256) 773-2260
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CEDAR STREET PRIMARY CARE INC. is a family medicine in Hartselle, 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. CEDAR STREET PRIMARY CARE INC. NPI is 1912486937. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

220 CEDAR ST NW
HARTSELLE, AL
ZIP 35640
Phone: (256) 773-2260

The provider's authorized official is Jeb Stuart Hornsby .
The authorized official title is President and has the following contact phone number (256) 292-7410.

The CLIA number assigned to this NPI record is 01D2284924 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2018 and was last updated on 9/6/2023.


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 Medicine29015ALABAMAYes

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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