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MARSHALL FAMILY MEDICINE NPI 1164040986


NPI Information

NPI: 1164040986
Provider Name: MARSHALL FAMILY MEDICINE

Former Legal Business Name: MARSHALL PRIMARY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D2255237

Address:
7938 ALABAMA HWY 69
STE 350
GUNTERSVILLE, AL
ZIP 35976
Phone: (256) 571-8500
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MARSHALL FAMILY MEDICINE is a family medicine in Guntersville, 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. MARSHALL FAMILY MEDICINE NPI is 1164040986. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Marshall Primary Care.

The provider's business location address is:

7938 ALABAMA HWY 69
STE 350
GUNTERSVILLE, AL
ZIP 35976-135
Phone: (256) 571-8500
Fax: (256) 571-8502

The provider's authorized official is Taylor M Walker .
The authorized official title is Cfo and has the following contact phone number (256) 894-6600.

The CLIA number assigned to this NPI record is 01D2255237 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2020 and was last updated on 7/13/2023.


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 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
1255058MEDICAIDALABAMA

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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