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PHOENIX EMERGENCY CARE PC NPI 1104958933


NPI Information

NPI: 1104958933
Provider Name: PHOENIX EMERGENCY CARE, PC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
7105B BAILEY CREEK CIR SE
HUNTSVILLE, AL
ZIP 35802
Phone: (256) 882-7469
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PHOENIX EMERGENCY CARE, PC is an emergency medicine in Huntsville, AL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. PHOENIX EMERGENCY CARE, PC NPI is 1104958933. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7105B BAILEY CREEK CIR SE
HUNTSVILLE, AL
ZIP 35802-797
Phone: (256) 882-7469

The provider's authorized official is Karen R Hall .
The authorized official title is Business Manager and has the following contact phone number (256) 882-7469.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 4/18/2011.


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
1363LF0000XNurse PractitionerFamily1-087797ALABAMANo
2363LF0000XNurse PractitionerFamily1-060554ALABAMANo
3207P00000XEmergency MedicineC70324ALABAMAYes

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
11467506535OTHERALABAMANPI
21821059288OTHERALABAMANPI
351514602OTHERALABAMA51514602
4C70324MEDICARE UPINALABAMA
5051514602MEDICARE ID-TYPE UNSPECIFIEDALABAMA
65423370001MEDICARE NSCALABAMA

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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