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PHYSICIANS CARE OF SWEET WATER LLC NPI 1316223969


NPI Information

NPI: 1316223969
Provider Name: PHYSICIANS CARE OF SWEET WATER LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
31431 ALABAMA HIGHWAY 10
SWEET WATER, AL
ZIP 36782
Phone: (334) 636-5311
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PHYSICIANS CARE OF SWEET WATER LLC is a primary care clinic center in Sweet Water, AL. PHYSICIANS CARE OF SWEET WATER LLC NPI is 1316223969. The provider is registered as an organization entity type.

The provider's business location address is:

31431 ALABAMA HIGHWAY 10
SWEET WATER, AL
ZIP 36782-936
Phone: (334) 636-5311
Fax: (334) 636-2280

The provider's authorized official is Huey R Kidd .
The authorized official title is Physician and has the following contact phone number (334) 636-5311.

The enumeration date for this NPI number is 10/27/2011 and was last updated on 1/16/2019.


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
2261QR1300XClinic/CenterRural HealthNo
3313M00000XNursing Facility/Intermediate Care FacilityNo
4314000000XSkilled Nursing FacilityNo

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
1102G081345OTHERALABAMAMEDICARE PTAN

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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