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OPELIKA PEDIATRICS & FAMILY CLINIC PC NPI 1306240502


NPI Information

NPI: 1306240502
Provider Name: OPELIKA PEDIATRICS & FAMILY CLINIC PC

Other Name: PREFERRED MEDICAL GROUP

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 01D2085831

Address:
5809 HWY 280E
OPELIKA, AL
ZIP 36804
Phone: (334) 705-6966
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OPELIKA PEDIATRICS & FAMILY CLINIC PC is a clinic center in Opelika, AL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). OPELIKA PEDIATRICS & FAMILY CLINIC PC NPI is 1306240502. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Preferred Medical Group.

The provider's business location address is:

5809 HWY 280E
OPELIKA, AL
ZIP 36804
Phone: (334) 705-6966
Fax: (334) 664-0466

The provider's authorized official is Ritu Chandra .
The authorized official title is President and has the following contact phone number (334) 664-0463.

The CLIA number assigned to this NPI record is 01D2085831 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2014 and was last updated on 6/9/2017.


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
1207L00000XAnesthesiologyALABAMANo
2207QA0505XFamily MedicineAdult MedicineALABAMANo
3207QG0300XFamily MedicineGeriatric MedicineALABAMANo
4208000000XPediatricsALABAMANo
5208D00000XGeneral PracticeALABAMANo
6261Q00000XClinic/CenterYes

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.