Provider Type Icon

PREMISE HEALTH OF ALABAMA MEDICAL P.C. NPI 1396771432


NPI Information

NPI: 1396771432
Provider Name: PREMISE HEALTH OF ALABAMA MEDICAL, P.C.

Doing Business As: GOODYEAR FAMILY MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
851 GOODYEAR AVE
GADSDEN, AL
ZIP 35903
Phone: (256) 549-2660
Get Directions

PREMISE HEALTH OF ALABAMA MEDICAL, P.C. is a family medicine in Gadsden, 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. PREMISE HEALTH OF ALABAMA MEDICAL, P.C. NPI is 1396771432. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Goodyear Family Medical Center.

The provider's business location address is:

851 GOODYEAR AVE
GADSDEN, AL
ZIP 35903-133
Phone: (256) 549-2660
Fax: (256) 494-5063

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 8/25/2022.


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 MedicineYes

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

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.