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FAMILY MEDICINE OF HUNTSVILLE PC NPI 1215074091


NPI Information

NPI: 1215074091
Provider Name: FAMILY MEDICINE OF HUNTSVILLE, PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D0692253

Address:
2410 COMMERCE CT SW
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 539-7722
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FAMILY MEDICINE OF HUNTSVILLE, PC is a specialist in Huntsville, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FAMILY MEDICINE OF HUNTSVILLE, PC NPI is 1215074091. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2410 COMMERCE CT SW
HUNTSVILLE, AL
ZIP 35801-679
Phone: (256) 539-7722
Fax: (256) 539-1816

The provider's authorized official is Wm David Huff .
The authorized official title is Md and has the following contact phone number (256) 539-7722.

The CLIA number assigned to this NPI record is 01D0692253 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 7/1/2010.


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
1174400000XSpecialistALABAMAYes

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
1C36416MEDICARE UPINALABAMA
2C72386MEDICARE UPINALABAMA
3H15252MEDICARE UPINALABAMA
4F93248MEDICARE UPINALABAMA
5D379MEDICARE ID-TYPE UNSPECIFIED

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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