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THE CENTER FOR COLON AND DIGESTIVE DISEASE P C NPI 1104865021


NPI Information

NPI: 1104865021
Provider Name: THE CENTER FOR COLON AND DIGESTIVE DISEASE P C

Former Legal Business Name: THE COLON AND DIGESTIVE DISEASE CENTER P C

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 01D2271242

Address:
119 LONGWOOD DRIVE
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 533-6488
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THE CENTER FOR COLON AND DIGESTIVE DISEASE P C is an internal medicine in Huntsville, AL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. THE CENTER FOR COLON AND DIGESTIVE DISEASE P C NPI is 1104865021. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is The Colon And Digestive Disease Center P C.

The provider's business location address is:

119 LONGWOOD DRIVE
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 533-6488
Fax: (256) 533-6495

The provider's authorized official is Michael W Brown .
The authorized official title is President and has the following contact phone number (256) 533-6488.

The CLIA number assigned to this NPI record is 01D2271242 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 1/25/2011.


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
1207RG0100XInternal MedicineGastroenterologyNo
2207R00000XInternal MedicineYes

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
1J256MEDICARE PINALABAMA
2529102520MEDICAIDALABAMA
34400135MEDICAIDTENNESSEE
4D207MEDICARE PINALABAMA
5CL0068OTHERALABAMARAILROAD MEDICARE

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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