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FAIRHOPE GASTROENTEROLOGY LLC NPI 1578106621


NPI Information

NPI: 1578106621
Provider Name: FAIRHOPE GASTROENTEROLOGY, LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 01D0305251

Address:
3 MEDICAL PARK
FAIRHOPE, AL
ZIP 36532
Phone: (251) 928-8804
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FAIRHOPE GASTROENTEROLOGY, LLC is a medical specialty clinic center in Fairhope, 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). FAIRHOPE GASTROENTEROLOGY, LLC NPI is 1578106621. The provider is registered as an organization entity type.

The provider's business location address is:

3 MEDICAL PARK
FAIRHOPE, AL
ZIP 36532-804
Phone: (251) 928-8804

The provider's authorized official is Christopher W Ives .
The authorized official title is Managing Partner/owner and has the following contact phone number (251) 928-8804.

The CLIA number assigned to this NPI record is 01D0305251 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2019 and was last updated on 10/22/2019.


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 SpecialtyYes

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.