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TRI-CITY NEUROLOGY NPI 1437384732


NPI Information

NPI: 1437384732
Provider Name: TRI-CITY NEUROLOGY
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 01D1103131

Address:
200 BATTLE ST E
TALLADEGA, AL
ZIP 35160
Phone: (256) 493-0349
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TRI-CITY NEUROLOGY is a medical specialty clinic center in Talladega, AL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). TRI-CITY NEUROLOGY NPI is 1437384732. The provider is registered as an organization entity type.

The provider's business location address is:

200 BATTLE ST E
TALLADEGA, AL
ZIP 35160-420
Phone: (256) 493-0349

The provider's authorized official is Fazal Rahim .
The authorized official title is Owner and has the following contact phone number (256) 493-0349.

The CLIA number assigned to this NPI record is 01D1103131 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2009 and was last updated on 5/16/2009.


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
1261QM2500XClinic/CenterMedical Specialty25571ALABAMAYes

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
1I01478MEDICARE UPINALABAMA
2051522290MEDICARE PINALABAMA
3009960855MEDICAIDALABAMA

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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