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ST. VINCENT'S BLOUNT NPI 1225585383


NPI Profile

NPI: 1225585383
Provider Name: ST. VINCENT'S BLOUNT

Doing Business As: ASCENSION ST. VINCENT'S PRIMARY CARE CLEVELAND

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

Specialization: Rural Health

CLIA Number: 01D0300067

Address:
6945 COUNTRY HIGHWAY 1
CLEVELAND, AL
ZIP 35049
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Phone: (205) 625-3367

ST. VINCENT'S BLOUNT is a rural health clinic center in Cleveland, AL. ST. VINCENT'S BLOUNT NPI is 1225585383. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ascension St. Vincent's Primary Care Cleveland.

The provider's business location address is:

6945 COUNTRY HIGHWAY 1
CLEVELAND, AL
ZIP 35049-927
Phone: (205) 625-3367

The provider's authorized official is Brandon Williams .
The authorized official title is Cfo and has the following contact phone number (205) 838-3766.

The CLIA number assigned to this NPI record is 01D0300067 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/7/2016 and was last updated on 6/30/2021.


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
1207Q00000XFamily MedicineNo
2261QR1300XClinic/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: 9/13/2022

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