PICKENS COUNTY PRIMARY CARE PC NPI 1437626868

NPI Information

NPI: 1437626868
Provider Name: PICKENS COUNTY PRIMARY CARE, PC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
205 4TH AVE
REFORM, AL
ZIP 35481
Phone: (205) 375-2304
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PICKENS COUNTY PRIMARY CARE, PC is a rural health clinic center in Reform, AL. PICKENS COUNTY PRIMARY CARE, PC NPI is 1437626868. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

205 4TH AVE
REFORM, AL
ZIP 35481
Phone: (205) 375-2304
Fax: (205) 375-2335

The provider's authorized official is Julia L Boothe .
The authorized official title is Owner and has the following contact phone number (205) 792-6701.

The enumeration date for this NPI number is 10/24/2018 and was last updated on 2/19/2020.

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	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health			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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