MINUTECLINIC DIAGNOSTIC OF ALABAMA LLC NPI 1164802021

NPI Information

NPI: 1164802021
Provider Name: MINUTECLINIC DIAGNOSTIC OF ALABAMA, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
4736 EASTERN VALLEY RD
MC CALLA, AL
ZIP 35111
Phone: (866) 389-2727
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MINUTECLINIC DIAGNOSTIC OF ALABAMA, LLC is a family nurse practitioner in Mc Calla, AL. MINUTECLINIC DIAGNOSTIC OF ALABAMA, LLC NPI is 1164802021. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4736 EASTERN VALLEY RD
MC CALLA, AL
ZIP 35111-406
Phone: (866) 389-2727

The provider's authorized official is Deborah Jean Pincince .
The authorized official title is Administrator and has the following contact phone number (401) 770-3813.

The enumeration date for this NPI number is 6/5/2015 and was last updated on 1/26/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant				No
2	363LF0000X	Nurse Practitioner	Family			Yes

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

NPI Synchronization or Removal

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