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JASPER FAMILY PRACTICE CENTER PC NPI 1275535361


NPI Information

NPI: 1275535361
Provider Name: JASPER FAMILY PRACTICE CENTER PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D0301989

Address:
2201 N AIRPORT RD
JASPER, AL
ZIP 35504
Phone: (205) 221-9351
Get Directions

JASPER FAMILY PRACTICE CENTER PC is a family medicine in Jasper, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JASPER FAMILY PRACTICE CENTER PC NPI is 1275535361. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2201 N AIRPORT RD
JASPER, AL
ZIP 35504-058
Phone: (205) 221-9351
Fax: (205) 221-4353

The provider's authorized official is Delinda Stiles .
The authorized official title is Assistant Office Manager and has the following contact phone number (205) 221-9351.

The CLIA number assigned to this NPI record is 01D0301989 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 11/30/2018.


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 Medicine=========ALABAMAYes

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
1528601190MEDICAIDALABAMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.