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NORTHWEST MEDICAL CENTER INC. NPI 1225315468


NPI Information

NPI: 1225315468
Provider Name: NORTHWEST MEDICAL CENTER INC.

Doing Business As: SULLIGENT MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 01D0973443

Address:
1390 WALNUT ST
SULLIGENT, AL
ZIP 35586
Phone: (205) 698-7111
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NORTHWEST MEDICAL CENTER INC. is a rural health clinic center in Sulligent, AL. NORTHWEST MEDICAL CENTER INC. NPI is 1225315468. The provider is registered as an organization entity type.
The provider Is Doing Business As Sulligent Medical Clinic.

The provider's business location address is:

1390 WALNUT ST
SULLIGENT, AL
ZIP 35586-841
Phone: (205) 698-7111
Fax: (205) 698-0516

The provider's authorized official is Michael Windham .
The authorized official title is Ceo and has the following contact phone number (205) 487-7555.

The CLIA number assigned to this NPI record is 01D0973443 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2011 and was last updated on 12/17/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural HealthYes

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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