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SOUTHEAST MEDICAL CENTER LLC NPI 1093122384


NPI Information

NPI: 1093122384
Provider Name: SOUTHEAST MEDICAL CENTER LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 01D2092056

Address:
3365 SKYWAY DR STE 100
AUBURN, AL
ZIP 36830
Phone: (334) 539-1770
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SOUTHEAST MEDICAL CENTER LLC is an urgent care clinic center in Auburn, AL. SOUTHEAST MEDICAL CENTER LLC NPI is 1093122384. The provider is registered as an organization entity type.

The provider's business location address is:

3365 SKYWAY DR STE 100
AUBURN, AL
ZIP 36830-487
Phone: (334) 539-1770
Fax: (334) 539-1775

The provider's authorized official is Chima Ukachi .
The authorized official title is Ceo and has the following contact phone number (301) 385-8664.

The CLIA number assigned to this NPI record is 01D2092056 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2014 and was last updated on 7/18/2014.


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
1261QU0200XClinic/CenterUrgent CareYes

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.