CARBON HEALTH MEDICAL GROUP OF FLORIDA PA NPI 1376145821

NPI Information

NPI: 1376145821
Provider Name: CARBON HEALTH MEDICAL GROUP OF FLORIDA PA

Other Name: COMPANY

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2121942

Address:
2370 HILLCREST RD
MOBILE, AL
ZIP 36695
Phone: (415) 200-2099
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CARBON HEALTH MEDICAL GROUP OF FLORIDA PA is an urgent care clinic center in Mobile, AL. CARBON HEALTH MEDICAL GROUP OF FLORIDA PA NPI is 1376145821. The provider is registered as an organization entity type.
The provider Other Name Is Company.

The provider's business location address is:

2370 HILLCREST RD
MOBILE, AL
ZIP 36695-841
Phone: (415) 200-2099
Fax: (888) 972-1912

The provider's authorized official is Gianna Papa .
The authorized official title is Credentialing Manager and has the following contact phone number (415) 446-1733.

The CLIA number assigned to this NPI record is 05D2121942 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2020 and was last updated on 11/17/2023.

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	261QU0200X	Clinic/Center	Urgent Care			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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