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RENEW CONSULTING SERVICESLLC NPI 1265014344


NPI Information

NPI: 1265014344
Provider Name: RENEW CONSULTING SERVICES,LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5717 BRADFORD LN
TUSCALOOSA, AL
ZIP 35405
Phone: (205) 535-0325
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RENEW CONSULTING SERVICES,LLC is a primary care clinic center in Tuscaloosa, AL. RENEW CONSULTING SERVICES,LLC NPI is 1265014344. The provider is registered as an organization entity type.

The provider's business location address is:

5717 BRADFORD LN
TUSCALOOSA, AL
ZIP 35405-680
Phone: (205) 535-0325
Fax: (205) 575-0683

The provider's authorized official is Karen Stacy Moore .
The authorized official title is Owner and has the following contact phone number (205) 535-0325.

The enumeration date for this NPI number is 4/27/2021 and was last updated on 4/27/2021.


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
1261QP2300XClinic/CenterPrimary CareYes

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
1156901MEDICAIDALABAMA

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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