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SOUTHERNCARE INC. NPI 1023056405


NPI Information

NPI: 1023056405
Provider Name: SOUTHERNCARE, INC.

Doing Business As: SOUTHERNCARE CLANTON

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
201 MEDICAL CENTER DR
CLANTON, AL
ZIP 35045
Phone: (205) 280-3793
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SOUTHERNCARE, INC. is a hospice care community based in Clanton, AL. SOUTHERNCARE, INC. NPI is 1023056405. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Clanton.

The provider's business location address is:

201 MEDICAL CENTER DR
CLANTON, AL
ZIP 35045-329
Phone: (205) 280-3793
Fax: (205) 280-3863

The provider's authorized official is Douglas J Abell .
The authorized official title is Chief Compliance Officer and has the following contact phone number (704) 664-2876.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 1/20/2015.


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
1251G00000XHospice Care, Community BasedALABAMANo
2251G00000XHospice Care, Community Based10519ALABAMAYes

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
101-1649MEDICARE PINALABAMA
2E1102OTHERALABAMASTATE LICENSE
3PIC1649EMEDICAIDALABAMA
4011649MEDICARE OSCAR/CERTIFICATION

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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