MAIN STREET MEDICAL CLINIC LLC NPI 1306145289

NPI Information

NPI: 1306145289
Provider Name: MAIN STREET MEDICAL CLINIC LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1508 COGSWELL AVE
PELL CITY, AL
ZIP 35125
Phone: (205) 814-1598
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MAIN STREET MEDICAL CLINIC LLC is a rural health clinic center in Pell City, AL. MAIN STREET MEDICAL CLINIC LLC NPI is 1306145289. The provider is registered as an organization entity type.

The provider's business location address is:

1508 COGSWELL AVE
PELL CITY, AL
ZIP 35125-243
Phone: (205) 814-1598
Fax: (205) 814-1587

The provider's authorized official is Mary Sue Suggs .
The authorized official title is Owner and has the following contact phone number (205) 814-1598.

The enumeration date for this NPI number is 3/18/2011 and was last updated on 3/18/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	113466	ALABAMA	Yes

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

NPI Synchronization or Removal

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