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PRIMARY CARE CTR OF TUSCALOOSA LLC NPI 1093853434


NPI Information

NPI: 1093853434
Provider Name: PRIMARY CARE CTR OF TUSCALOOSA LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1000 FAIRFAX PARK
TUSCALOOSA, AL
ZIP 35406
Phone: (205) 366-9181
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PRIMARY CARE CTR OF TUSCALOOSA LLC is a primary care clinic center in Tuscaloosa, AL. PRIMARY CARE CTR OF TUSCALOOSA LLC NPI is 1093853434. The provider is registered as an organization entity type.

The provider's business location address is:

1000 FAIRFAX PARK
TUSCALOOSA, AL
ZIP 35406-806
Phone: (205) 366-9181

The provider's authorized official is Angela K Smelley .
The authorized official title is Owner and has the following contact phone number (205) 366-9181.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 7/7/2008.


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
1261QP2300XClinic/CenterPrimary Care21061ALABAMAYes

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
1G61745MEDICARE UPIN
251517558OTHERALABAMABLUE CROSS BLUE SHIELD
3051517558MEDICARE ID-TYPE UNSPECIFIEDALABAMA

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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