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FLINT RIVER FAMILY MEDICINE P.C. NPI 1558859157


NPI Information

NPI: 1558859157
Provider Name: FLINT RIVER FAMILY MEDICINE, P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 01D2150014

Address:
6388B HIGHWAY 431 S STE 2
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 490-7592
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FLINT RIVER FAMILY MEDICINE, P.C. is a primary care clinic center in Owens Cross Roads, AL. FLINT RIVER FAMILY MEDICINE, P.C. NPI is 1558859157. The provider is registered as an organization entity type.

The provider's business location address is:

6388B HIGHWAY 431 S STE 2
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 490-7592

The provider's authorized official is Justin Price Pruitt .
The authorized official title is President and has the following contact phone number (256) 490-7592.

The CLIA number assigned to this NPI record is 01D2150014 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/29/2018 and was last updated on 6/20/2018.


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
1261QP2300XClinic/CenterPrimary CareYes

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

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.