TRACE CROSSINGS FAMILY MEDICINE PC NPI 1508942061

NPI Information

NPI: 1508942061
Provider Name: TRACE CROSSINGS FAMILY MEDICINE PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 01D0894699

Address:
118 MARS HILL RD
HOOVER, AL
ZIP 35244
Phone: (205) 987-0005
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TRACE CROSSINGS FAMILY MEDICINE PC is a primary care clinic center in Hoover, AL. TRACE CROSSINGS FAMILY MEDICINE PC NPI is 1508942061. The provider is registered as an organization entity type.

The provider's business location address is:

118 MARS HILL RD
HOOVER, AL
ZIP 35244-904
Phone: (205) 987-0005
Fax: (205) 987-0065

The provider's authorized official is James H Marshall .
The authorized official title is President and has the following contact phone number (205) 987-0005.

The CLIA number assigned to this NPI record is 01D0894699 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/22/2020.

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	261QP2300X	Clinic/Center	Primary Care	14054	ALABAMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	51500656	OTHER	ALABAMA	BCBS PROVIDER NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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