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HEALTH SVC INC NPI 1396785143


NPI Information

NPI: 1396785143
Provider Name: HEALTH SVC INC

Doing Business As: MONTGOMERY PRIMERY CARE

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

CLIA Number: 01D0995199

Address:
3060 MOBILE HWY
MONTGOMERY, AL
ZIP 36108
Phone: (334) 293-6670
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HEALTH SVC INC is a specialty pharmacy pharmacy in Montgomery, AL. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. HEALTH SVC INC NPI is 1396785143. The provider is registered as an organization entity type.
The provider Is Doing Business As Montgomery Primery Care.

The provider's business location address is:

3060 MOBILE HWY
MONTGOMERY, AL
ZIP 36108-027
Phone: (334) 293-6670
Fax: (334) 293-6671

The provider's authorized official is R Allen Mcdaniel .
The authorized official title is Phcy Director and has the following contact phone number (334) 263-2301.

The CLIA number assigned to this NPI record is 01D0995199 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 1/18/2012.


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
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyNo
33336S0011XPharmacySpecialty Pharmacy110355ALABAMAYes

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
10125155OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
210002635MEDICAIDALABAMA

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

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