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ATTENTUS MOULTON LLC NPI 1033155791


NPI Information

NPI: 1033155791
Provider Name: ATTENTUS MOULTON, LLC

Doing Business As: LAWRENCE RURAL HEALTH CLINIC,COURTLAND

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

Specialization: Rural Health

CLIA Number: 01D0893685

Address:
350 TENNESSEE STREET
COURTLAND, AL
ZIP 35618
Phone: (256) 637-8033
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ATTENTUS MOULTON, LLC is a rural health clinic center in Courtland, AL. ATTENTUS MOULTON, LLC NPI is 1033155791. The provider is registered as an organization entity type.
The provider Is Doing Business As Lawrence Rural Health Clinic,courtland.

The provider's business location address is:

350 TENNESSEE STREET
COURTLAND, AL
ZIP 35618
Phone: (256) 637-8033
Fax: (256) 637-9424

The provider's authorized official is Dean Griffin .
The authorized official title is Ceo and has the following contact phone number (256) 974-2286.

The CLIA number assigned to this NPI record is 01D0893685 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2006 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

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1540003401MEDICAIDALABAMA

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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