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BAYOUCLINIC INC. NPI 1114996865


NPI Information

NPI: 1114996865
Provider Name: BAYOUCLINIC, INC.

Doing Business As: BAYOU LA BATRE RURAL HEALTH CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D0685150

Address:
13833 TAPIA AVE
BAYOU LA BATRE, AL
ZIP 36509
Phone: (251) 824-4985
Get Directions

BAYOUCLINIC, INC. is a family medicine in Bayou La Batre, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BAYOUCLINIC, INC. NPI is 1114996865. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bayou La Batre Rural Health Clinic.

The provider's business location address is:

13833 TAPIA AVE
BAYOU LA BATRE, AL
ZIP 36509-515
Phone: (251) 824-4985
Fax: (251) 824-4990

The provider's authorized official is Julie H Taylor .
The authorized official title is Interim Executive Director and has the following contact phone number (251) 824-4985.

The CLIA number assigned to this NPI record is 01D0685150 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/15/2006 and was last updated on 6/1/2011.


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
1207Q00000XFamily MedicineALABAMAYes

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
1529932897MEDICAIDALABAMA
2013845MEDICARE PINALABAMA
3541003845MEDICAIDALABAMA

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

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