PICKENS COUNTY MEDICAL CENTER NPI 1467506469

NPI Information

PICKENS COUNTY MEDICAL CENTER is a primary care clinic center in Gordo, AL. PICKENS COUNTY MEDICAL CENTER NPI is 1467506469. The provider is registered as an organization entity type.
The provider Is Doing Business As Paul D Lavender.

The provider's business location address is:

27340 HWY 86
GORDO, AL
ZIP 35466
Phone: (205) 364-7135
Fax: (205) 364-2455

The provider's authorized official is Kathy P Price .
The authorized official title is Director Of Physician Services and has the following contact phone number (205) 367-8111.

The CLIA number assigned to this NPI record is 01D2073262 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/23/2007 and was last updated on 9/23/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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.